| 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 |
|
| Reverse letters, numbers or words |
|
|
|
X |
| Read very slowly |
X |
X |
X |
|
| Crooked or poorly spaced writing |
|
|
|
X |
| Make errors when copying |
X |
X |
X |
X |
| Poor word recall & recognition |
|
|
|
X |
| Difficulty following instructions (written or verbal) |
|
|
|
X |
| Below grade level on standardized tests |
X |
X |
X |
X |
| Restless when working at a desk |
X |
X |
X |
X |
| Car sickness or motion sickness |
X |
X |
X |
|
| Totals |
25 |
25 |
16 |
23 |
| Maximum Possible |
69 |
84 |
54 |
55 |
