EEG EXPERT REPORT ON QIK CPT - Visual Test Page 1

Initials: SMGA Subject: 1292 Test Date Mar. 24, 2022

Age at Test 6.0 Test #: 1 Test Time 09:57
Gender: male Test Note: - empty -

Description of Test: Qik CPT is a computerized visual continuous performance test developed for assessing
attention and impulse control. The EEG Expert Report on Qik CPT is specifically intended for use by
neurofeedback clinicians for assessment and monitoring the effects of EEG training. A simple visual target or
non-target is presented once every two seconds. During the 21-minute test, the subject must press a button to
respond to each target and not press for each non-target.

Results Summary:

80 Performance Index 60 80

^
100 120 140
55 Accuracy Index
^
60 80 100 120 140

(Speed and Consistency of Response) (Attention and Impulse Control)

80 Speed of Response
| 88
Consistency of Response 55 Sustained Attention
| 55
Impulse Control
(Omission Errors + Outliers) (Commission + Anticipatory Errors)
25.7% Correct Response Rate male 6.0

Performance Index reflects speed and consistency of response, which are continuous variables.
Accuracy Index reflects sustained attention and impulse control, which involve discrete errors.
Sustained Attention is determined by omission errors and outliers.
Impulse Control is determined by commission errors and anticipatory errors.
All indices are presented as standard scores. The range of scores is limited from 55 to 145.
Results are with reference to the 2014 population-based QIKnorm for the specific age and gender group.
Scores significantly below average (<80) are printed in red. Scores significantly above average (>120) are
printed in green.
Equivalent Age is the hypothetical age for which the specific result would be normal; it is displayed only if the
calculation is mathematically possible and for ages up to 20
The symbol ">" is used to indicate a range of scores in cases of zero error, for which data resolution does not
allow greater precision in the assignment of scores.

Results Data Norm Score

M6.0 Total Test Measured Value Median of Distribution Standard Score Percentile

Omission Errors 142 errors 32.7 errors 55 1%

Outlier Responses 29 errors 5.8 errors 66 1%
Commission Errors 66 errors 24.6 errors 55 1.0 %
Response Time 759.9 ms 601 ms 80 8%
Variability 209.2 ms 181 ms 88 20 %

Omission Errors occur when the subject does not respond correctly to a target
Outliers are correct responses with very long response times.
Commission Errors occur when the subject responds incorrectly to a non-target.
Response Time is the mean of all correct reaction times to a target.
Variability is the standard deviation of correct response times.

SPECIAL NOTE FOR THIS REPORT : ACCURACY SCORE IS BELOW 85

The percentage of correct responses is indicated below the chart of the actual results on Page
1. When the accuracy index is below 85, the percentage is indicated in red. This is a caution
flag to the clinician to inspect the data for validity. For example, if there are lots of
commission errors, and if these tend to pile up at short reaction time, then the reaction time
score is suspect. This may well occur in the younger age range of 6-9 years.

When the accuracy index is at its lowest score of 55, the clinician should also evaluate the
validity of the variability score. There could be a problem of insufficient sample size to yield
a valid number.

These matters will tend to be an issue only during the initial test. One would like to avoid
the situation in which the client is misled by wrongly inflated scores on reaction time and
variability at the outset. On retest, the impression might be given that scores have declined
when in fact the pre-test scores were simply inflated because they were unreliable.

The accuracy score is 55.

 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 2

Initials: SMGA, #1292 Test Date: Mar. 24, 2022 Test #1

Period Period Period Period Period

1 2 3 4 5
RAW DATA Sect. 1 Sect. 1 Sect. 2 Sect. 2 Sect. 3 Sect. 1 Sect. 2 Sect 3 Total
Low Low High High Low
Demand Demand Demand Demand Demand
Omissions(#) 5 12 46 58 21 17 104 21 142
Outliers 3 3 17 3 3 6 20 3 29
Commissions(#) 29 5 9 10 13 34 19 13 66
Response
819 1014 790 625 626 894 705 626 760
time(ms)
Variability(ms) 263 151 274 243 115 246 272 115 209

STANDARD Period Period Period Period Period Section Section Section

Total
SCORES 1 2 3 4 5 s1 s2 s3
Omission Errors 90 72 54 40 68 78 40 68 40
Outliers 71 79 40 98 82 69 70 82 67
Commission
40 66 77 82 66 40 86 66 40
Errors
Response Time 79 40 76 93 107 63 82 107 80
Variability 76 103 75 87 121 77 76 121 88

OTHER Period Period Period Period Period Section Section Section

Total
RESPONSES 1 2 3 4 5 s1 s2 s3
Anticipatory
2 1 1 2 0 3 3 0 6
Resp. (#)
Multiple
12 4 10 5 1 16 15 1 32
Responses (#)

Section 1 (periods 1 and 2) and section 3 (period 5) represent the target-infrequent or low-demand task.
Section 2 (periods 3 and 4) represents the target-frequent or high-demand task.
Anticipatory Responses occur within 240 milliseconds of any stimulus (target or non-target).
Multiple Responses reflect more than one response to a stimulus
Scores significantly below average are printed in red. Scores significantly above average are printed in green.
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 3

Initials: SMGA, #1292 Test Date: Mar. 24, 2022 Test #1

Response Time Graph: Period 1 of Section 1 - Low Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
0 60000 120000 180000 240000

Response Time Graph: Period 2 of Section 1 - Low Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
252000 312000 372000 432000 492000

Response Time Graph: Period 3 of Section 2 - High Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
504000 564000 624000 684000 744000

Response Time Graph: Period 4 of Section 2 - High Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
756000 816000 876000 936000 996000

Response Time Graph: Period 5 of Section 3 - Low Demand

1600
1400 Correct Responses Commission Errors Trend Line Omission Multiple
Reaction time in msec

1200
1000
800
600
400
200
0
1008000 1068000 1128000 1188000 1248000

X-Axis for all charts: time into QIKtest in msec, with vertical gridlines of 1 minute
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 4

Initials: SMGA, #1292 Test Date: Mar. 24, 2022 Test #1

Response Time Histogram - Totals
60
Mean of Test 863 ms
40 Anticipitory Norm 601 ms
Responses
Norm
20 <240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Totals : COMMISSIONS & ANTICIPATORY

30
Mean of Test 652 ms
20 Anticipitory Norm 601 ms
Responses
Norm
10 <240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Norms: the blue line represents a normal distribution of reaction times for this age and group: compare by form and position to your data in red. The light blue area represents 68.2%
(or ±1σ) of a normal distribution.

Response Time Histogram - Period 1 of Section 1 - Low Demand

10
Mean of Test 868 ms
Anticipitory Norm 663 ms
5 Responses
Norm
<240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 2 of Section 1 - Low Demand

10
Mean of Test 1055 ms
Anticipitory Norm 704 ms
5 Responses
Norm
<240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 3 of Section 2 - High Demand

30
Mean of Test 940 ms
20 Anticipitory Norm 571 ms
Responses
Norm
10 <240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 4 of Section 2 - High Demand

10
Mean of Test 669 ms
Anticipitory Norm 566 ms
5 Responses
Norm
<240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)

Response Time Histogram - Period 5 of Section 3 - Low Demand

6
Mean of Test 872 ms
4 Anticipitory Norm 683 ms
Responses
Norm
2 <240 ms

0
0 60 120 180 240 300 360 420 480 540 600 660 720 780 840 900 960 1020 1080 1140 1200
Response Time (msec)
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 5

Initials: SMGA, #1292 Test Date: Mar. 24, 2022 Test #1

Pre-Post Graphs

Performance Index Accuracy Index

145 145

130 130

115 115

100 100

88
85 85
80 80

70 70

55 55 55
55 55
PERFORMANCE INDEX Speed Consistency ACCURACY INDEX Sustained Impulse
of Response of Response Attention Control

QIKtest: DEVELOPMENT OF NUMBER OF ERRORS and RT OUTLIERS

500
490
480
470
460
450
440 Omission Errors
430
420
410
Commission Errors
400
390
380
Outliers
370 Anticipatory
360
350
340
330
320
310
Number of Events

300
290
280
270
260
250
240
230
220
210
29
200
190
180
66
170
160
150
140
130 142
120
110
100
90
80
70
60
50
40
30
20
10
0
Mar. 24, 2022
Date of Test
 EEG EXPERT REPORT ON QIK CPT - Visual Test Page 6

Initials: SMGA, #1292 Test Date: Mar. 24, 2022 Test #1

INTERPRETATION

→ Performance Index is within normal range.

→ Accuracy Index is significantly below average, indicating significant inattention and/or
impulsivity.

I. TOTAL SCORES:

→ Omission Errors are significantly greater than average, indicating significant inattention (low
Sustained Attention)..

→ Commission Errors are significantly greater than average, indicating significant impulsivity (low
Impulse Control).

→ Response Time is significantly slower than average, indicating significantly slow response to
targets (low Speed of Response).

→ Outlier Errors are significantly greater than average, indicating significant inattention (low
Sustained Attention)..

→ Total Multiple Responses are excessive (>20). Multiple Responses occur when both buttons are
pressed together or when one button is pressed more than once per stimulus presentation (target or
non-target). Excessive Multiple Responses represent poor impulse control or poor understanding of
test instructions.

II. SCORES BY SECTION

→ First section Omission Errors, Commission Errors, Response Time, Variability of Response
Time and Outliers standard scores are significantly below average.
This is the low demand task (target-infrequent condition). Poor scores in the first section indicate
difficulty maintaining attention and control in a boring situation.

→ Second section Omission Errors, Variability of Response Time and Outliers standard scores are
significantly below average.
This is the high demand task (target-frequent condition). Poor scores in the second section indicate
difficulty maintaining attention and control when performing under pressure.

→ Third section Omission Errors and Commission Errors standard scores are significantly below
average.
This is a repeat of the low demand task (target-infrequent condition). Poor scores in the third section
indicate difficulty maintaining attention and control with boredom and fatigue at the end of the test.

→ Below average standard scores in first and second sections indicate difficultly maintaining
attention and control both when bored and when pressured.

→Commission Errors and Response Time: Standard scores are significantly worse in the first section
than the second section. The first section is the low demand task (target-infrequent condition). Lower
scores in the first section indicate greater difficulty maintaining attention and control in a boring
situation.

→ Omission Errors Standard scores are significantly worse in the second section than the first
section.
The second section is the high demand task (target-frequent condition). Lower scores in the second
section indicate greater difficulty maintaining attention and control when performing under pressure.

III. SCORES BY PERIOD

→ First period Commission Errors, Response Time, Variability of Response Time and Outliers
standard scores are significantly below average.

→ Second period Omission Errors, Commission Errors, Response Time and Outliers standard
scores are significantly below average.

→ Third period Omission Errors, Commission Errors, Response Time, Variability of Response
Time and Outliers standard scores are significantly below average.

→ Fourth period Omission Errors standard scores are significantly below average.

→ Fifth period Omission Errors and Commission Errors standard scores are significantly below
average.

→ Standard scores for Omission Errors and Response Time are significantly worse in period 2
than period 1.
Period 2 is a continuation of the same low demand task as period 1. Scoring worse in period 2
indicates increasing difficulty maintaining attention and control under boring conditions.

→ Standard scores for Omission Errors are significantly worse in period 4 than period 3.
Period 4 is a continuation of the same high demand task as period 3. Scoring worse in period 4
indicates increasing difficulty maintaining attention and control under continued pressure.

→ Standard scores for Commission Errors, Variability of Response Time and Outliers are
significantly worse in period 1 than period 2.
Section 1 (periods 1 and 2) and section 3 (period 5) represent the target-infrequent or low-demand
task.

→ Standard scores for Response Time, Variability of Response Time and Outliers are significantly
worse in period 3 than period 4.
Periods 3 and 4 represent the same high demand (stimulus frequent) task. Scoring worse in period 3
indicates relative difficulty changing task compared to maintaining performance of a known task.

→ Post Commission Response Time is faster than average correct Response Time in period s 1
and 4.
A Post Commission Response Time is the response time immediately following a Commission Error.
People typically slow down after a Commission Error in order to be more careful. A faster response
time following a Commission Error might result from increased speed with increased attention after a
careless error. This might indicate that Commission Errors are resulting more from inattention than
from lack of impulse control. Look at the Response Time graphs to see which Commission Errors are
faster (impulsive) or slower (inattentive) than average.

→ Significant Omission Errors (standard score < 70) in periods 3, 4 and 5.

It is important to know why a significant number of targets were missed. Ask subject whether missed
targets were seen, and look for clusters of Omission Errors in the Response Time graphs. These might
reflect periods of sleep or distraction or possibly absence seizures. Excessive Omission Errors might
also reflect visual processing deficits. Consider assessment by a developmental optometrist.