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
Skip words while reading or copying	X	X
Reread words or lines	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
Tilt head in an unusual posture when reading or writing		X
Eyes hurt or feel tired after close work	X	X	X
Crooked or poorly spaced writing				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
Poor word recall & recognition				X
Uses fingers to count for math				X
Does not know math facts automatically				X
Dislike tasks requiring sustained concentration	X	X	X	X
Losing awareness of surroundings when concentrating	X	X	X	X
You must feel things to “see” them				X
Car sickness or motion sickness	X	X	X
Excessive blinking	X	X	X
Dry eyes	X	X	X
Sensitivity to light	X	X	X
Totals	36	42	24	27
Maximum Possible	69	84	54	55

Symptom Results – Admin