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Vedlegg 12511.4. Hurtig KoPS skjemaBarnets navn: ...........................................................................Fødselsdato:………………..Alder ved testing: …….. år ……. månederKlasse:Relevante faktorer: a) b) c) d) e) f) g) h) i) j)(tegn sirkel)Annen informasjon:................................................................................................................................................................Barnets alderTEST 4:0 – 4:11 5:0 –5:11 6:0 – 6:11 7:0 – 7:11 8:0 – 8:11Slørks vennerKaninenFormerSlørks bokstaver Bokstavnavn KappløpRimLydlike KlovnenDette skjemaet kan skrives ut. Marker med sirkel i første kolonne hvilke fire tester som velges.NOTATER: .......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................KoPS Kognitiv Profil System© 1997, 2001 Lucid Research Ltd
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