CATA Record Form
CATA Record Form
Record Form
Student: ________________________________________ C.A. ______ M.A. ______ Date: _____________
Directions: Ensure testing room is free of distractions. Before the practice test, ensure that the student doesn’t have to go to the
washroom and is not chewing any gum. Explain the instructions to the student, and not to worry if he/she makes a mistake. Have the
student repeat the instructions to assure comprehension. Then, tell the student that the test is 14 minutes long, not to ask any
questions, and just before the actual test, provide one last reminder: “Respond as fast and accurately as you can." If the student
asks questions during the test, say, “I can answer that question after you are finished. Please continue.” If the student gets
distracted away from the test, give one verbal prompt, such as, “Remember you have to try paying attention the whole time.”
Standard Practice Test (Time started: ________ AM / PM) Record observations below.
Actual Test (Time started: ________ AM / PM) Record observations below using two-min. intervals (e.g., activity level,
engagement to the task, eye blinking, yawning, reaction to errors, time queries, comments of boredom, etc.).
A) Feelings / Effort:
B) Activity Level:
C) Amount of Sleep:
D) Yawns / Alertness:
E) Eye Blinks:
F) Engagement:
G) Drug/Medication Use:
SUMMARY OF STATISTICS
Valid Administration? Yes ____ No ____ Response Style: Conservative ____ Balanced ____ Liberal ____
Variable
Measure T-score Percentile Guideline Interpretation
Type
Detectability d’
Omissions
Error Commissions
Type
Perseverations
HRT
Reaction
HRT SD
Time
Statistics HRT Block
Change
Note: T-scores of 45-54 (Average) 55-59 (High Ave.), 60-69 (Elevated), 70+ (Very Elevated) HRT = opposite interpretation