| Condition |
T |
B |
F |
VP |
| Lose your place while reading or copying |
X |
X |
|
|
| Skip words 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 |
|
| Print moves or goes in and out of focus when reading |
|
X |
X |
|
| Poor spelling skills |
|
|
|
X |
| Letters or lines “run together” or words appear to “jump” when reading |
X |
X |
|
|
| Misalign letters or numbers |
|
|
|
X |
| Make errors when copying |
X |
X |
X |
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 |
|
| Watery eyes |
X |
X |
X |
|
| Totals |
27 |
30 |
15 |
20 |
| Maximum Possible |
69 |
84 |
54 |
55 |
