Symptom Results for A

Condition	T	B	F	VP
Skip lines while reading or copying	X	X
Lose your place 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
Poor reading comprehension, difficulty remembering what you’ve read	X	X	X	X
Eyes hurt or feel tired after close work	X	X	X
Crooked or poorly spaced writing				X
Misalign letters or numbers				X
Make errors when copying	X	X	X	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
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
Losing awareness of surroundings when concentrating	X	X	X	X
Car sickness or motion sickness	X	X	X
Excessive blinking	X	X	X
Excessive eye rubbing	X	X	X
Totals	43	43	28	43
Maximum Possible	69	84	54	55

A’s Score: 70

Immediate Treatment – Severe Condition