Page 72 - JSOM Winter 2019
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APPENDIX C
Example PEAC Assessment Feedback Form
Name SSN Education Grade MOS Age TIS Unit
WAYNE, JOHN XXX-XX-1234 12 E6 18E 33 10 3/7
Cognitive Ability (IQ)
Special Special
Population Population
Enlisted Officer Soldier’s
Average* Average* Score*
VIQ 105 115 108
EXAMPLE
PIQ 110 117 126
118
FSIQ 107 116
(89%)
*These averages are for EXAMPLE ONLY—
the numbers do not represent actual averages
VIQ = Verbal IQ; PIQ = Performance IQ; FSIQ = Full Scale IQ.
Error bars on this graph represent 1 standard deviation above and below the averages.
68% of SMs fall within 1 standard deviation of average; 16% fall below 1 SD and 16%
are above 1 SD.
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70 | JSOM Volume 19, Edition 4 / Winter 2019
