With the stitching activity, the person retains a general image of what a single cordovan stitch looks like. They may neglect the directionality of the rest of the lace.
The person meets the following criteria by going:
- Front to back (through the hole), and
- Front to back (through the loop) again, but
- Tip is to the right of the lace or tip goes through the loop twice.
With the copying activity, they match the sample one tile at a time. The yellow cross in Design B may be noticed by the person as they are able to store the image in their working memory.
The diamond colouring is completed one triangle at a time but they may make a mistake when they stop referring to the sample. Whole sections are not coloured in at one time.
In placement activities like the clover and the kite, they can overlap the pieces so that they are partially hidden. They have enough mental energy to complete the kite design but with obvious errors occurring.
To Verify
If a change in the person's ability to function is likely due to a medical condition, regular verification is required. Observe the person's behaviour. Are they picking up their head to scan their environment to find necessary supplies about a yard (1 m) away?
Can the person overlap pieces easily to form a coherent picture?
Try the tractor or duck card activity. If they can overlap the pieces easily, they are functioning within ACL 4.6 or higher. Someone else will be required to cut out the pieces beforehand as cutting curved or complex shapes does not enter the scale until ACL 5.4.
To Rule Out
The biggest difference between ACL 4.6 and 4.8 is their ability to keep comparing images until they are done.
Can the person use a check list? Does the person use literacy to comprehend the use of written instructions? If they do not have reading comprehension, this rules out ACL 4.6. Reading aloud, without comprehension, has been observed many times in ACL 4.6.