| Condition |
T |
B |
F |
VP |
| Skip lines while reading or copying |
X |
X |
|
|
| Lose your place 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 |
|
| Vision blurs at distance when looking up from near work |
|
X |
X |
|
| Poor spelling skills |
|
|
|
X |
| Poor word recall & recognition |
|
|
|
X |
| Uses fingers to count for math |
|
|
|
X |
| Does not know math facts automatically |
|
|
|
X |
| Below grade level on standardized tests |
X |
X |
X |
X |
| Dislike tasks requiring sustained concentration |
X |
X |
X |
X |
| Avoid near tasks such as reading |
X |
X |
X |
|
| Confuse right and left directions |
|
|
|
X |
| Car sickness or motion sickness |
X |
X |
X |
|
| Totals |
21 |
24 |
18 |
25 |
| Maximum Possible |
69 |
84 |
54 |
55 |
