Symptom Results for Test
Condition | T | B | F | VP |
Lose your place while reading or copying | X | X | ||
Reread words or lines | X | X | ||
Use a finger or marker to keep place while reading/writing | X | X | ||
Read very slowly | X | X | X | |
Close (within 7‐8″) to reading and/or writing material | X | X | ||
Eyes hurt or feel tired after close work | X | X | X | |
Vision blurs at distance when looking up from near work | X | X | ||
Print moves or goes in and out of focus when reading | X | X | ||
Poor spelling skills | X | |||
Make errors when copying | X | X | X | X |
Clumsiness or poor coordination | 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 | |||
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 |
Confuse right and left directions | X | |||
Restless when working at a desk | X | X | X | X |
Losing awareness of surroundings when concentrating | X | X | X | X |
Dry eyes | X | X | X | |
Sensitivity to light | X | X | X | |
Totals | 33 | 42 | 30 | 30 |
Maximum Possible | 69 | 84 | 54 | 55 |
Test’s Score: 59
Based on the score, the following is recommended…