Symptom Results for E

Condition	T	B	F	VP
Skip lines while reading or copying	X	X
Lose your place while reading or copying	X	X
Substitute words while reading or copying	X	X	X
Reverse letters, numbers or words				X
Use a finger or marker to keep place while reading/writing	X	X
Poor reading comprehension, difficulty remembering what you’ve read	X	X	X	X
Close (within 7‐8″) to reading and/or writing material		X	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
Vision blurs at distance when looking up from near work		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
Unable to make a picture in your mind while reading				X
Uses fingers to count for math				X
Unable to remember a series of tasks				X
Avoid near tasks such as reading	X	X	X
Confuse right and left directions				X
Restless when working at a desk	X	X	X	X
Losing awareness of surroundings when concentrating	X	X	X	X
Sensitivity to light	X	X	X
Totals	31	37	25	30
Maximum Possible	69	84	54	55

Symptom Results – Admin