| 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 |
|
| Reverse letters, numbers or words |
|
|
|
X |
| Use a finger or marker to keep place while reading/writing |
X |
X |
|
|
| Read very slowly |
X |
X |
X |
|
| Eyes hurt or feel tired after close work |
X |
X |
X |
|
| Poor spelling skills |
|
|
|
X |
| Poor word recall & recognition |
|
|
|
X |
| Uses fingers to count for math |
|
|
|
X |
| Does not know math facts automatically |
|
|
|
X |
| Below grade level on standardized tests |
X |
X |
X |
X |
| Dislike tasks requiring sustained concentration |
X |
X |
X |
X |
| Restless when working at a desk |
X |
X |
X |
X |
| Losing awareness of surroundings when concentrating |
X |
X |
X |
X |
| Totals |
30 |
30 |
18 |
27 |
| Maximum Possible |
69 |
84 |
54 |
55 |
