Form

Peabody Picture Vocabulary Test, Fifth Edition

A
Record Form
Douglas M. Dunn, PhD

Name: ________________________________________________ Sex: ■ F ■ M ID #: ___________________________

Address: _____________________________________________ Current Grade: ____________________________________

or Level of
City: _________________________________________________ Education Completed: ______________________________

State: __________________________ ZIP: _________________ School/Agency: ____________________________________

Phone: _______________________________________________ Teacher/Counselor: ________________________________

Language Spoken Most Often: __________________________ Examiner: _________________________________________

Language(s) Spoken at Home: __________________________ Reason for Testing: _________________________________

Year Month Day Calculating the Raw Score

Test Date Ceiling Item

Birth Date Total Errors −
Age*
Raw Score
*Do not round up.

Score Summary
Confidence Interval Normal Curve Test-Age Growth Scale
Standard Score ■ 90% ■ 95% Percentile Rank Equivalent (NCE) Stanine Equivalent Value (GSV)
(Table A.1) (Table A.1) (Table A.1) (Table A.1) (Table A.1) (Table B.1) (Table B.1)

______ – ______ _____________ _____________ _____________ _____________ _____________

Graphical Profile

0.1% 0.1%
2.2% 13.6% 34.1% 34.1% 13.6% 2.2%
–4SD –3SD –2SD –1SD Avg. +1SD +2SD +3SD +4SD

Standard Score 40 50 60 70 80 90 100 110 120 130 140 150 160

Confidence Interval
Percentile 1 2 5 9 16 25 37 50 63 75 84 91 95 98 99

NCE
Stanine
Description Well Below Below Above Well Above
Expected Expected Expected Expected Expected

Copyright © 2019 Wascana Limited Partnership. All rights reserved.

AUTHORIZED USE BY PL ONLY

1 2 3 4 5 6 7 8 9 10 11 12 A B C D E Product Number 0158013344

0158013344_PPVT5_RF_A_v2.indd 1 9/19/18 10:19 AM

 AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 2 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore
Training Items A 11. cup 1 0
A1. boy + – 1 2 3 4 NR
1 2 3 4 NR
START Ages 4:0–4:11
A2. chair + – 12. eating 1 0
1 2 3 4 NR NR
1 2 3 4
Training Items B
13. pencil 1 0
B1. laughing + – NR
1 2 3 4
1 2 3 4 NR
14. mouth 1 0
B2. sleeping + – NR
1 2 3 4
1 2 3 4 NR
15. flower
1 0
START Ages 2:6–3:11
1 2 3 4 NR
1. ball 1 0
NR 16. cookie 1 0
1 2 3 4
1 2 3 4 NR
2. dog 1 0
1 2 3 4 NR 17. sitting 1 0
1 2 3 4 NR
3. banana 1 0
1 2 3 4 NR 18. carrot 1 0
1 2 3 4 NR
4. spoon
1 0
1 2 3 4 NR 19. reading 1 0
1 2 3 4 NR
5. animal 1 0
1 2 3 4 NR 20. swimming 1 0
1 2 3 4 NR
6. foot 1 0
1 2 3 4 NR 21. drum 1 0
1 2 3 4 NR
7. duck 1 0
1 2 3 4 NR 22. toe 1 0
1 2 3 4 NR
8. bus 1 0
1 2 3 4 NR 23. jumping 1 0
1 2 3 4 NR
9. shoe 1 0
1 2 3 4 NR 24. turtle 1 0
1 2 3 4 NR
10. drinking 1 0
1 2 3 4 NR 25. square 1 0
1 2 3 4 NR

PPVT-5 • Form A 3
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 3 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore
START Ages 5:0–5:11 41. farm 1 0
26. fire 1 0 1 2 3 4 NR

1 2 3 4 NR
42. gift 1 0
27. belt 1 0 1 2 3 4 NR

1 2 3 4 NR 43. panda
1 0
28. gate 1 0 1 2 3 4 NR

1 2 3 4 NR
44. castle 1 0
29. painting NR
1 0 1 2 3 4
1 2 3 4 NR
45. horn 1 0
30. penguin 1 0 1 2 3 4 NR

1 2 3 4 NR
46. squirrel 1 0
31. fly 1 0 1 2 3 4 NR

1 2 3 4 NR
47. feather 1 0
32. kicking 1 0 1 2 3 4 NR

1 2 3 4 NR
48. net 1 0
33. whistle 1 0 1 2 3 4 NR

1 2 3 4 NR
49. shoulder 1 0
34. throwing 1 0 1 2 3 4 NR

1 2 3 4 NR
50. juggling 1 0
35. lamp 1 0 1 2 3 4 NR

1 2 3 4 NR
51. pouring 1 0
36. happy 1 0 1 2 3 4 NR

1 2 3 4 NR
52. cobweb 1 0
37. empty 1 0 1 2 3 4 NR

1 2 3 4 NR START Ages 6:0–6:11

38. fence 1 0 53. elbow 1 0

1 2 3 4 NR 1 2 3 4 NR

39. whale 1 0 54. fountain 1 0

1 2 3 4 NR 1 2 3 4 NR

40. dancing 1 0 55. roof 1 0

1 2 3 4 NR 1 2 3 4 NR

4 PPVT-5 • Form A
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 4 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore
56. peeking
1 0 71. cactus 1 0
1 2 3 4 NR 1 2 3 4 NR

57. full 1 0 72. target 1 0

1 2 3 4 NR 1 2 3 4 NR

58. buckle 1 0 73. furry 1 0

1 2 3 4 NR 1 2 3 4 NR

59. envelope 1 0 74. picking 1 0

1 2 3 4 NR 1 2 3 4 NR

60. diamond 1 0 75. dentist 1 0

1 2 3 4 NR 1 2 3 4 NR

61. dressing 1 0 76. squash 1 0

1 2 3 4 NR 1 2 3 4 NR

62. tunnel 1 0
START Ages 8:0–10:11

1 2 3 4 NR 77. delivering 1 0
1 2 3 4 NR
63. branch 1 0
1 2 3 4 NR 78. raccoon 1 0
1 2 3 4 NR
64. sawing 1 0
1 2 3 4 NR 79. group 1 0
1 2 3 4 NR
65. claw 1 0
NR 80. knight
1 2 3 4 1 0

START Ages 7:0–7:11 1 2 3 4 NR

66. ruler 1 0 81. gigantic 1 0

1 2 3 4 NR 1 2 3 4 NR

67. calendar 1 0 82. floating 1 0

1 2 3 4 NR 1 2 3 4 NR

68. measuring 1 0 83. ax 1 0

1 2 3 4 NR 1 2 3 4 NR

69. vest
1 0 84. uniform 1 0
1 2 3 4 NR 1 2 3 4 NR

70. arrow 1 0 85. chimney 1 0

1 2 3 4 NR 1 2 3 4 NR

PPVT-5 • Form A 5
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 5 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore

86. dripping 1 0 101. swamp 1 0

1 2 3 4 NR 1 2 3 4 NR

87. violin 1 0 102. vase 1 0

1 2 3 4 NR 1 2 3 4 NR

88. tablet 1 0 103. trunk 1 0

1 2 3 4 NR 1 2 3 4 NR

89. river 1 0 104. sorting 1 0

1 2 3 4 NR 1 2 3 4 NR

90. waist 1 0 START Ages 13:0–13:11

1 2 3 4 NR 105. pigeon 1 0
1 2 3 4 NR
91. chef 1 0
1 2 3 4 NR 106. timer 1 0
1 2 3 4 NR
92. vehicle 1 0
1 2 3 4 NR 107. pyramid 1 0
1 2 3 4 NR
93. flamingo 1 0
1 2 3 4 NR 108. horrified
1 0
94. globe 1 2 3 4 NR
1 0
1 2 3 4 NR 109. flaming 1 0
START Ages 11:0–12:11 1 2 3 4 NR

95. catching 1 0 110. harp 1 0

1 2 3 4 NR 1 2 3 4 NR

96. sharing 1 0 111. ankle 1 0

1 2 3 4 NR 1 2 3 4 NR

97. hyena 1 0 112. safe 1 0

1 2 3 4 NR NR
1 2 3 4
98. vegetable
1 0 113. aquarium 1 0
1 2 3 4 NR NR
1 2 3 4
99. plumber 1 0 114. wrench 1 0
1 2 3 4 NR NR
1 2 3 4

100. bloom 1 0 115. heart 1 0

1 2 3 4 NR NR
1 2 3 4

6 PPVT-5 • Form A
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 6 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore

116. refueling 1 0 131. hydrant 1 0

1 2 3 4 NR 1 2 3 4 NR

117. luggage 1 0
START Ages 17:0–18:11

1 2 3 4 NR 132. valley 1 0
1 2 3 4 NR
118. athlete 1 0
1 2 3 4 NR 133. dissecting 1 0
1 2 3 4 NR
119. canoe 1 0
1 2 3 4 NR 134. funnel 1 0
1 2 3 4 NR
120. surprised 1 0
NR 135. interviewing
1 2 3 4 1 0
1 2 3 4 NR
121. vine 1 0
1 2 3 4 NR 136. pastry 1 0

START Ages 14:0–16:11 1 2 3 4 NR

122. towing 1 0 137. clarinet 1 0

1 2 3 4 NR 1 2 3 4 NR

123. directing 1 0 138. harvesting 1 0

1 2 3 4 NR 1 2 3 4 NR

124. reptile 1 0 139. inflated 1 0

1 2 3 4 NR 1 2 3 4 NR

125. kiwi START Ages 19:0–90:11+

1 0
1 2 3 4 NR 140. tusk 1 0
1 2 3 4 NR
126. digital 1 0
1 2 3 4 NR 141. snarling 1 0
1 2 3 4 NR
127. predatory 1 0
1 2 3 4 NR 142. assisting 1 0
1 2 3 4 NR
128. drone 1 0
1 2 3 4 NR 143. inhaling
1 0
1 2 3 4 NR
129. solo 1 0
1 2 3 4 NR 144. coast 1 0
1 2 3 4 NR
130. palm 1 0
1 2 3 4 NR

PPVT-5 • Form A 7
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 7 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore

145. beverage 1 0 160. feline 1 0

1 2 3 4 NR 1 2 3 4 NR

146. puzzled 1 0 161. pillar 1 0

1 2 3 4 NR 1 2 3 4 NR

147. rodent 1 0 162. florist 1 0

1 2 3 4 NR 1 2 3 4 NR

148. amphibian 1 0 163. carpenter 1 0

1 2 3 4 NR 1 2 3 4 NR

164. trumpet
149. injecting 1 0 1 0

1 2 3 4 NR 1 2 3 4 NR

165. currency 1 0
150. polluting 1 0
1 2 3 4 NR 1 2 3 4 NR

151. demolishing 1 0 166. isolation 1 0

1 2 3 4 NR 1 2 3 4 NR

152. mammal 1 0 167. pedestrian 1 0

1 2 3 4 NR 1 2 3 4 NR

153. interior 1 0 168. departing 1 0

1 2 3 4 NR 1 2 3 4 NR

154. clamp 1 0 169. garment 1 0

1 2 3 4 NR 1 2 3 4 NR

155. duet 1 0 170. citrus 1 0

1 2 3 4 NR 1 2 3 4 NR

156. links 1 0 171. reprimanding 1 0

1 2 3 4 NR 1 2 3 4 NR

157. fern
1 0 172. hovering 1 0
1 2 3 4 NR 1 2 3 4 NR

158. aquatic 1 0 173. valve 1 0

1 2 3 4 NR 1 2 3 4 NR

159. consuming 1 0 174. glider 1 0

1 2 3 4 NR 1 2 3 4 NR

8 PPVT-5 • Form A
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 8 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore

175. hedge 1 0 190. appliance 1 0

1 2 3 4 NR 1 2 3 4 NR

176. irregular 1 0 191. detonation 1 0

1 2 3 4 NR 1 2 3 4 NR

177. transparent 1 0 192. cornea 1 0

1 2 3 4 NR 1 2 3 4 NR

178. hatchet
1 0 193. porcelain 1 0
1 2 3 4 NR 1 2 3 4 NR

179. primate 1 0 194. sedan 1 0

1 2 3 4 NR 1 2 3 4 NR

180. parallelogram 1 0 195. cerebral 1 0

1 2 3 4 NR 1 2 3 4 NR

181. hazardous 1 0 196. cascade 1 0

1 2 3 4 NR 1 2 3 4 NR

182. submerging 1 0 197. incarcerating 1 0

1 2 3 4 NR 1 2 3 4 NR

183. pentagon 1 0 198. confiding 1 0

1 2 3 4 NR 1 2 3 4 NR

199. replenishing
184. syringe 1 0 1 0
1 2 3 4 NR 1 2 3 4 NR

185. talon
1 0 200. wedge
1 0
NR [WEJ]
1 2 3 4 NR
1 2 3 4
186. dejected 1 0
201. lever 1 0
1 2 3 4 NR
[LE vuhr]
NR
1 2 3 4
187. apparel 1 0
1 2 3 4 NR 202. perpendicular
1 0
[puhr pen DI kyoo luhr]
188. poultry 1 0 NR
1 2 3 4
1 2 3 4 NR
203. depleted 1 0
189. peninsula 1 0 [di PLEET ed]
NR
1 2 3 4 NR 1 2 3 4

PPVT-5 • Form A 9
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 9 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore

204. pestle 216. pilfering

1 0 1 0
[PE suhl] [PIL fuhr ing]
NR NR
1 2 3 4 1 2 3 4

205. enumerating 1 0 217. coniferous 1 0

[i NOO muh rayt ing] [koh NIF uh ruhs]
NR NR
1 2 3 4 1 2 3 4

206. quintet 218. honing

1 0 1 0
[kwin TET] [HOHN ing]
NR NR
1 2 3 4 1 2 3 4

207. cultivating 1 0 219. encumbered 1 0

[KUHL tuh vayt ing] [in KUHM buhrd]
NR NR
1 2 3 4 1 2 3 4

208. ascending 220. wildebeest

1 0 1 0
[uh SEND ing] [WIL duh beest]
NR NR
1 2 3 4 1 2 3 4

209. perusing 1 0 221. timpani 1 0

[puh ROOZ ing] [TIM puh nee]
NR NR
1 2 3 4 1 2 3 4

210. incandescent 222. caster

1 0 1 0
[in kuhn DES uhnt] [KAS tuhr]
NR NR
1 2 3 4 1 2 3 4

211. sternum 1 0 223. embossed 1 0

[STUHR nuhm] [im BAWST]
NR NR
1 2 3 4 1 2 3 4

212. filtration 224. terpsichorean

1 0 1 0
[fil TRAY shuhn] [tuhrp sik uh REE uhn]
NR NR
1 2 3 4 1 2 3 4

213. maritime 1 0 225. legume 1 0

[MAR uh tiym] [LE gyoom]
NR NR
1 2 3 4 1 2 3 4

214. mercantile 226. cupola

1 0 1 0
[MUR kuhn teel] [KYOO puh luh]
NR NR
1 2 3 4 1 2 3 4

215. converging 1 0 227. convex 1 0

[kuhn VUHRJ ing] [kon VEKS]
NR NR
1 2 3 4 1 2 3 4

10 PPVT-5 • Form A
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 10 9/19/18 10:19 AM
 • Basal: 3 consecutive correct responses. • Ceiling: 6 consecutive incorrect responses. • Timing: about 10 seconds. • Repetition: allow 1 per item.

ItemScore ItemScore

228. torrent 240. osculating 1 0

1 0
[TOHR uhnt] [OS kyuh layt ing]
NR NR
1 2 3 4 1 2 3 4

229. derrick 1 0
[DER ik]
NR
1 2 3 4

230. reposing
1 0
[ri POHZ ing]
NR
1 2 3 4

231. arable 1 0
[AYR uh buhl]
NR
1 2 3 4

232. dromedary
1 0
[DROM uh dayr ee]
NR
1 2 3 4

233. calyx 1 0
[KAY liks]
NR
1 2 3 4

234. lugubrious
1 0
[luu GOO bree uhs]
NR
1 2 3 4

235. cenotaph 1 0
[SEN uh taf]
NR
1 2 3 4

236. supine
1 0
[suu PIYN]
NR
1 2 3 4

237. cairn 1 0
[KAYRN]
NR
1 2 3 4

238. vitreous
1 0
[VI tree uhs]
NR
1 2 3 4

239. tonsorial 1 0
[ton SOHR ee uhl]
NR
1 2 3 4

PPVT-5 • Form A 11
AUTHORIZED USE BY PL ONLY
0158013344_PPVT5_RF_A_v2.indd 11 9/19/18 10:19 AM
 PPVT–5 Scores Over Time
Administration Standard Confidence Growth Scale GSV Score Significant
PPVT–5 Form Raw Score
Date Score Interval Value (GSV) Difference Difference

______________ ■ A ■ B __________ __________ __________ __________

______________ ■ A ■ B __________ __________ __________ __________ __________ ■ Yes ■ No

______________ ■ A ■ B __________ __________ __________ __________ __________ ■ Yes ■ No

______________ ■ A ■ B __________ __________ __________ __________ __________ ■ Yes ■ No

______________ ■ A ■ B __________ __________ __________ __________ __________ ■ Yes ■ No

______________ ■ A ■ B __________ __________ __________ __________ __________ ■ Yes ■ No

Note. For interpretation of standard scores and growth scale values, refer to the Manual.

PPVT–5 Compared to EVT–3

Statistically Prevalence
PPVT–5 EVT–3 Critical Significant
Standard Difference Significant in Normative
A or B A or B Value Difference
Score Level Sample
Comparison
.05 / .10 Yes / No

Score Profile

40 50 60 70 80 90 100 110 120 130 140 150 160

PPVT– 5
Standard Score
Confidence Interval –
■ 90% ■ 95%

EVT– 3
Standard Score
Confidence Interval – 1 2 5 9 16 25 37 50 63 75 84 91 95 98 99
■ 90% ■ 95% –4SD –3SD –2SD –1SD Mean +1SD +2SD +3SD +4SD

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AUTHORIZED USE BY PL ONLY

0158013344_PPVT5_RF_A_v2.indd 12 9/19/18 10:19 AM