| Condition |
T |
B |
F |
VP |
| Skip lines while reading or copying |
X |
X |
|
|
| Lose your place while reading or copying |
X |
X |
|
|
| Skip words while reading or copying |
X |
X |
|
|
| Substitute words while reading or copying |
X |
X |
X |
|
| Reread words or lines |
X |
X |
|
|
| Reverse letters, numbers or words |
|
|
|
X |
| Read very slowly |
X |
X |
X |
|
| Eyes hurt or feel tired after close work |
X |
X |
X |
|
| Poor spelling skills |
|
|
|
X |
| Make errors when copying |
X |
X |
X |
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 |
| Confuse right and left directions |
|
|
|
X |
| Restless when working at a desk |
X |
X |
X |
X |
| You must feel things to “see” them |
|
|
|
X |
| Car sickness or motion sickness |
X |
X |
X |
|
| Totals |
28 |
28 |
16 |
30 |
| Maximum Possible |
69 |
84 |
54 |
55 |
