Symptom Results for Jake

Condition	T	B	F	VP
Skip lines while reading or copying	X	X
Lose your place while reading or copying	X	X
Skip words while reading or copying	X	X
Substitute words while reading or copying	X	X	X
Reread words or lines	X	X
Use a finger or marker to keep place while reading/writing	X	X
Close (within 7‐8″) to reading and/or writing material		X	X
Tilt head in an unusual posture when reading or writing		X
Headaches after intense visual activities such as reading or computer work	X	X	X
Eyes hurt or feel tired after close work	X	X	X
Crooked or poorly spaced writing				X
Poor spelling skills				X
Make errors when copying	X	X	X	X
Difficulty tracking moving objects	X	X
Clumsiness or poor coordination	X	X	X	X
Unable to make a picture in your mind while reading				X
Poor word recall & recognition				X
Uses fingers to count for math				X
Does not know math facts automatically				X
Difficulty following instructions (written or verbal)				X
Unable to remember a series of tasks				X
Below grade level on standardized tests	X	X	X	X
Feel sleepy while reading	X	X	X
Dislike tasks requiring sustained concentration	X	X	X	X
Avoid near tasks such as reading	X	X	X
Confuse right and left directions				X
Restless when working at a desk	X	X	X	X
Car sickness or motion sickness	X	X	X
Excessive eye rubbing	X	X	X
Dry eyes	X	X	X
Totals	48	54	33	42
Maximum Possible	69	84	54	55

Jake’s Score: 80

Immediate Treatment – Severe Condition