Symptom Results for Ashlee

Condition	T	B	F	VP
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
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
Eyes hurt or feel tired after close work	X	X	X
Unusually tired after completing a visual task	X	X	X
Vision blurs at distance when looking up from near work		X	X
Crooked or poorly spaced writing				X
Misalign letters or numbers				X
Make errors when copying	X	X	X	X
Difficulty with eye‐hand coordination sports such as baseball	X	X		X
Unable to make a picture in your mind while reading				X
Poor word recall & recognition				X
Avoid near tasks such as reading	X	X	X
Excessive blinking	X	X	X
Excessive eye rubbing	X	X	X
Watery eyes	X	X	X
Red eyes	X	X	X
Totals	27	39	30	18
Maximum Possible	69	84	54	55

Symptom Results – Admin