Symptom Results for A

Condition	T	B	F	VP
Skip words 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
Read very slowly	X	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
Squint, close or cover one eye while reading		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
Crooked or poorly spaced writing				X
Poor spelling skills				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
Unable to remember a series of tasks				X
Below grade level on standardized tests	X	X	X	X
Dislike tasks requiring sustained concentration	X	X	X	X
Confuse right and left directions				X
Excessive blinking	X	X	X
Excessive eye rubbing	X	X	X
Sensitivity to light	X	X	X
Totals	35	41	29	31
Maximum Possible	69	84	54	55

Symptom Results – Admin