MEMORY TEST QUESTIONNAIRE
(To be flashed on screen; 1 second per digit; adapted from WAIS-IV Digit Span Test)
Digit Span (Forward Test):
Sample: 8-6
1.​ 9-7
2.​ 5-8-2
3.​ 7-2-8-6
4.​ 4-2-7-3-1
5.​ 3-9-2-4-8-7
6.​ 4-1-7-9-3-8-6
7.​ 3-8-2-9-6-1-7-4
8.​ 2-7-5-8-6-3-1-9-4
Digit Span (Reverse Test):
Sample: 7-1
1.​ 3-1
2.​ 4-6
3.​ 6-2-9
4.​ 8-2-7-9
5.​ 6-5-8-4-3
6.​ 5-3-7-4-1-8
7.​ 8-1-4-9-3-6-2
8.​ 9-4-3-7-6-1-2-8
​
Correct Answers (Reverse):
1.​ 1-3
2.​ 6-4
3.​ 9-2-6
4.​ 9-7-2-8
5.​ 3-4-8-5-6
6.​ 8-1-4-7-3-5
7.​ 2-6-3-9-4-1-8
8.​ 8-2-1-6-7-3-4-9
MEMORY TEST ANSWER SHEET
Directions: Kindly place your strand and encircle the group number indicated by the proctor.
Digits will be flashed on the screen one by one, and you are tasked to remember them. Once
the proctor gives the cue, the final number will be hidden, and you must chronologically write
down the digits you recall (format: 1-2-3-...) within 30 seconds. For part 2, you will be tasked to
write down the digits in reverse chronological order. Before revealing the next digit, please lift
your pen once finished to tell us you are ready. Good luck!
STRAND: ____________
GROUP:​
Part 1:
1.​
2.​
3.​
4.​
5.​
6.​
7.​
8.​
1​
2​
3
Part 2 (REVERSE TEST):
1.​
2.​
3.​
4.​
5.​
6.​
7.​
8.​
Adapted from WAIS-IV Digit Span Test
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