A block design test is a subtest on many IQ test batteries used as part of assessment of human intelligence. It is thought to tap spatial visualization ability and motor skill. The test-taker uses hand movements to rearrange blocks that have various color patterns on different sides to match a pattern. The items in a block design test can be scored both by accuracy in matching the pattern and by speed in completing each item.
David Wechsler adapted a block design subtest for his Wechsler-Bellevue test, the predecessor of his WAIS (Wechsler Adult Intelligence Scale), from the Kohs block design test developed in 1923 at Stanford University by Samuel Calmin Kohs (1890–1984). A later revision by Hutt of the Kohs test incorporated the time taken to complete each item into the scoring of the test. Wechsler followed that practice in making both accuracy and speed factors in scoring the test.
Good performance on the block design test is indicative of appropriate functioning of the parietal and frontal lobes. Head injury, Alzheimer's disease, and stroke can severely reduce the performance of an individual on the block design test. Additional evidence suggests impairment in block design performance among schizophrenic and bipolar disorder patient populations, though this represents only preliminary findings.
The Block Design test is also a relatively accurate measure of spatial ability and Spatial Visualization Ability used in daily life. The Block Design test is considered one of the best measures of spatial ability, although it is subject to certain problems of administration, such as anxiety or over-cautious responding. Linda Kreger Silverman has proposed the block design subtest as the best putative measure of spatial ability among the Wechsler subtests.