Symptom Results for Jordan

Condition	T	B	F	VP
Skip lines while reading or copying	X	X
Lose your place while reading or copying	X	X
Substitute words while reading or copying	X	X	X
Reverse letters, numbers or words				X
Read very slowly	X	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
Vision blurs at distance when looking up from near work		X	X
Misalign letters or numbers				X
Make errors when copying	X	X	X	X
Difficulty with eye‐hand coordination sports such as baseball	X	X		X
Unable to make a picture in your mind while reading				X
Uses fingers to count for math				X
Difficulty following instructions (written or verbal)				X
Below grade level on standardized tests	X	X	X	X
Dislike tasks requiring sustained concentration	X	X	X	X
Confuse right and left directions				X
Restless when working at a desk	X	X	X	X
You must feel things to “see” them				X
Car sickness or motion sickness	X	X	X
Excessive eye rubbing	X	X	X
Watery eyes	X	X	X
Sensitivity to light	X	X	X
Totals	30	39	27	32
Maximum Possible	69	84	54	55

Symptom Results – Admin