Symptom Results for SR

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
Tilt head in an unusual posture when reading or writing		X
Headaches after intense visual activities such as reading or computer work	X	X	X
Eyes hurt or feel tired after close work	X	X	X
Unusually tired after completing a visual task	X	X	X
Vision blurs at distance when looking up from near work		X	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
Uses fingers to count for math				X
Does not know math facts automatically				X
Unable to remember a series of tasks				X
Feel sleepy while reading	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
Watery eyes	X	X	X
Sensitivity to light	X	X	X
Totals	39	45	30	17
Maximum Possible	69	84	54	55

Symptom Results – Admin