Yes, they give you scratch paper. Whether or not you will be allowed to fold it is another matter as you are not allowed to hold it, or anything for that matter, up to the computer screen. I strongly urge you to get out of the habit of trying to recreate the folds on the screen with paper. Why? Because the whole purpose of the test is to measure your psychomotor skills and more importantly time is a real factor on that exam. Keep in mind you'll have the added pressure of taking the real deal and you'll soon find yourself with questions being thrown at you. You need to be able to look at a question and as quickly as possible come up with an answer and move on. I had a friend that tried to rely on such strategies as folding paper and he didn't get through all of the PAT before his time ran out and it really hurt his score. Study hard, and best of luck!