MMDST (Result) Age Line Year 2010 2005 5 Month 02 10 04 Day 09 05 08 - Date of the interview - Date of Birth - Current Age Test Procedure PERSONAL- SOCIAL 1.Separates from mother easily Score Analysis Interpretation -pass - pass if the child does not become too upset when the mother is out of sight. -A.M. does not become to upset when the mother is out of sight. 2. Dresses without supervision -pass - pass if the can dress herself completely and correctly without help -A.M. can dress herself completely and correctly with slight help as evidence by the mother s and child s verbalization. FINE MOTOR ADAPTIVE 1.Copies rectangle -pass -pass if the child can draw a figure with straight lines and with 4 square corners without being shown how to draw it. -A.M. was able to draws a figure with straight lines and with 4 square corners without being shown how to draw it. 2.Imitates demonstrates square -pass - pass if the child can draw a figure with straight lines and 4 square corners - A.M. was able to draws a figure during the interview with straight lines and 4 square corners. -A.M. draws a figure with nine parts. 3. Draws man- 3 parts -pass -pass if the child can draw 3 or more parts. One point is given to each pair (ears, eyes, etc.) as well as each part which is not pair. - pass if the child can draw 6 or more body parts. 4. Draws man- 6 parts - pass - A.M. was able to draws a figure with 9 parts. LANGUAGE 1.Comprehends cold, tired and hungry -pass -pass if the child gives a logical answer for 2 out of 3 questions. -A.M. gives a logical answer for 2 out of 3 questions like gutom ka ba? , naiinitan kabah, eh nalalamigan? and she responded correctly 2.Recognize color -pass -pass if the child picks 3 out of four colors correctly. - AM. points 3 out of 4 colored wooden blocks correctly like red ball, black bag and white hat. 3.Defines word -pass -pass if the child defines 7 out of nine words in terms of use, shape, what it is made if, and its general category. -A.M. defined appropriately the terms of the things asked to her like rough black bag, etc. 4.Composition of -pass - pass if the child replies that spoon is made of metal; shoe is made of leather; door is made of wood, or glass. - A.M. replies that: Spoon is made up of metal. Door is made up of wood. Shoe is made up of plastic. GROSS MOTOR 1.Balance on 1 foot for 10 seconds -pass -pass if the child can stand on either foot 10 seconds or more in 2 or 3 trials. -A.M. was able to stand on 1 foot for 5-10 seconds on the second trial. 2.Heel-to-toe walk - pass -pass if the child can walk in straight line for 4 or more steps placing her heel 1 inch or less in front of her toe, 2 out 3 trials. - pass if the child can walk in straight line backward for 4 or more steps placing her toes in the back of her heel, 2 out of 3 trials. -A.M. was able to walk in straight line for 4 steps placing her heel 1 inch in front of her toe 3. Backward heel-totoe -pass - A.M. was able to walk backward in straight line for 4 steps placing her toe 1 inch in back of her heel.