| 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 |
|
|
| 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 |
|
| Tilt head in an unusual posture when reading or writing |
|
X |
|
|
| Headaches after intense visual activities such as reading or computer work |
X |
X |
X |
|
| Crooked or poorly spaced writing |
|
|
|
X |
| Poor spelling skills |
|
|
|
X |
| Misalign letters or numbers |
|
|
|
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 |
| Unable to remember a series of tasks |
|
|
|
X |
| Below grade level on standardized tests |
X |
X |
X |
X |
| Confuse right and left directions |
|
|
|
X |
| Totals |
27 |
30 |
12 |
32 |
| Maximum Possible |
69 |
84 |
54 |
55 |
