| Condition |
T |
B |
F |
VP |
| Skip words while reading or copying |
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 |
|
| Squint, close or cover one eye while reading |
|
X |
|
|
| Crooked or poorly spaced writing |
|
|
|
X |
| Misalign letters or numbers |
|
|
|
X |
| Difficulty tracking moving objects |
X |
X |
|
|
| Clumsiness or poor coordination |
X |
X |
X |
X |
| Difficulty with eye‐hand coordination sports such as baseball |
X |
X |
|
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 |
| Confuse right and left directions |
|
|
|
X |
| Car sickness or motion sickness |
X |
X |
X |
|
| Totals |
23 |
26 |
11 |
26 |
| Maximum Possible |
69 |
84 |
54 |
55 |
