Form 1 SORT R3

Interactive Informed Consent for Pediatric Clinical Trials

Attachment 3 Sort R-3

Children SORT-R3 for literacy

OMB: 0925-0687

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List

List

P

@O
@ O ?. look
@ O 3. mother
@ O 4. lirde
O O 5. here
@O 6.can
@ O 7" want
@ O 8. come
@O 9.one
l.see

@ O i0. bahy
@ O tr1" t"hree
@ @ i?. run
@ @ 13. jwnp
@ @ 14. down

@ O i.
@
@
@
@
@

O
O
O
O
@O
@O
@O

@ O 18.
@ @ 19.
@ @ 20.

batl
help
play

@
@
@
@
@
@
@
@
@
@
@

*

Total

H

@O15.is
@@16.up
@ O i7. make

O

with

v.was
8. what
9" bump

O

10. live
@ 11. very

@ i2" puppy

O

13. dark

@ 14. first

O 15. wish
O 16. basket
O 17. fbod
O t8. road

o

19. hiil

@ 20.

along

Total

List 3

O
O 2. hide
O 3. grass
O 4. across
O 5. around
O 6. breakfast
o 7. fieId
O 8. large
O 9. bener
O
O

10. suddenly
11. happen
@ 12. farrner

@
@
@
@
@
@
@
@
@
@
@

O 13" river
O 14. lunch
@ 15. sheep
@ 16. hope

O

List 4

@ O l. safe
@ O 2" agunst
@ O 3. smash
@ O 4. reward
@ O 5. evening
@ O 5. stream
@ O 7. empty
@ O L stone
@ O 9. grove

game

17. forest

@ i8. sars
@ 19. heavy
@ 20. station

@
@
@
@
@

10" desire

11. ocean
12. bench
13. damp
14. timid

O 15"perform
O 16.destroy
O i7" delicious
O IS,hunger
@ 19. excuse
O 20. understood

@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@

Total Score

O 1. harness
O 2. pficn
O 3. flakes
O 4. silence
O 5. dweloP
O 6. prompdy
O 7. serious
O 8. courage
O 9. foreheacl
@ trO. distant
@ li. anger
@ 12. vacant

O
O

13. appeuance
14. speechless

@ 15" region

O

16.
@ 17.
O 18.
O 19.

siumber

future
claimed

colnnron

@ 20. dainry

Total

Total

# of correctly
pronounced

words from

pronounced
words from

# of correctl!
pronounced
words from

woids iiom

List

List

# rrf correcfly
pronounced
words from

List

List

List

P

# of correctly

List 5

O I. cushion

O O 2. generally
O O 3" extended

@ O 4. custnm
@ O 5. tailor
@ O 6. haze
@ O 7' gracious
@ O 8. digniry
@ O 9. terrace
@ O 10. applause
@ @ 11. jungle
@ O 12. fragrant
@ O 13. interfere
@ O i4. marriage
@ O i5. profitabtre
@ @ 16. define
@ O lT.obedient
@ O 18. ambition
@ O 19. presence
@ O ?"0" merchant
--

@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@

2. friends
3. carrie
4. horse
5. ride
6. under

1.

Total

# of c,lrre.tiy

proncunceJ

@

List 2

1

=

1

List 6
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O

tr. installer{

2. imporance
3. medicine
4"

5.
5.

7'

rebellion
infected
responsible

liquid

8. tremendous
9" customary
10. maliciorx

it.

spectacular

12.inventory
13. yearning

14.
15.
16.
17.
18.
19.

imaginary
consequently

20.

compliments

excellence

dungeon
detained
abundant

Total

Tstal

# cf coiroctlv
.pronounced"
vvolds frotn

# of correctly
pronounced
words from

List

5

2

List

6

@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O
@O

=

List 7
1. administer
2" ffemor
3. environment
4. counterfeit
5' crisis
6. ind.ustrious
7. approximate
8" society

9.
10.

architecture
mal.ignant

11. pensive

12.
13.
14.
15.
16.
17.
18.
19.

standardize
exhausted

reininiscence

intricate
conternporary
attentively
cornpassionate

complorion

20. contlnuously
Total
# of correctly
pronounced
words from

List

7

3

List 8

4

List

P

1
List 2
List 3
List 4
List 5
List 6
List 7
List 8

+

List 9-12

*

List

Total
Score

+
+

+

+
+
+
+

=

Sum of all word
list Totals

List 9-12
@ O l. traverse
@ O 2. affable
@ O 3. compressible
@ O 4. excruciating
@ O 5. pandemonium
@ O 6. scrupulous
@ O 7. primordial
@ O 8. chastisement
@ O 9. sojourn
@ O 10. panorama
@ O 11. facsimile
@ O 12. auspicious
@ O 13. contraband
@ O 14. envisage
@ @ 15. tutility
@ O 16. enamoured
@ O 17.gustatory
@ O 18. decipher
@ O 19. inadequacy
@ O 20. simultaneous

@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@
@

O 1" prairies
O 2. evident
O 3. nucleus
O 4. antique
O 5. milight
O 6. rnemorandum
O 7. whimsicai
O 8. proportiond
O f. inturgible
O 10. formulated
O 11. articuiate
O 12. deprecate

=

Total

Total

# of correctly
pronounced
words from

# of correctly
pronounced
words lrom
List 9-12

O 13. remarkably
O 14. conuasting
O 15" irrelevance
O 16. supplement
O 17. inducement
O 18. nonchalant
O 19. e:ruberant
O 20. grotesque

Li6t

I


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