| 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 |
|
|
| Poor reading comprehension, difficulty remembering what you’ve read |
X |
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 |
|
| Eyes hurt or feel tired after close work |
X |
X |
X |
|
| Unusually tired after completing a visual task |
X |
X |
X |
|
| Unable to make a picture in your mind while reading |
|
|
|
X |
| Uses fingers to count for math |
|
|
|
X |
| Does not know math facts automatically |
|
|
|
X |
| Difficulty following instructions (written or verbal) |
|
|
|
X |
| Unable to remember a series of tasks |
|
|
|
X |
| Dislike tasks requiring sustained concentration |
X |
X |
X |
X |
| Restless when working at a desk |
X |
X |
X |
X |
| Excessive eye rubbing |
X |
X |
X |
|
| Totals |
26 |
29 |
20 |
28 |
| Maximum Possible |
69 |
84 |
54 |
55 |
