Symptom Checklist

Click Here to download the offline (printable) version of the Symptom Checklist.

If you or someone you know struggles with reading and learning, review this checklist and mark which symptoms are present.

1. Skips lines while reading or copying 2. Loses place while reading or copying 3. Skips words while reading or copying 4. Substitutes words while reading or copying 5. Rereads words or lines 6. Reverses letters, numbers or words 7. Uses a finger or marker to keep place while reading/writing 8. Reads very slowly 9. Poor reading comprehension 10. Difficulty remembering what has been read 11. Holds head too close when reading/writing (within 7-8 in.) 12. Squints, closes, or covers one eye while reading 13. Unusual posture/head tilt when reading/writing 14. Headaches following intense reading/computer work 15. Eyes hurt or feel tired after completing a visual task 16. Feels unusually tired after completing a visual task 17. Double vision 18. Vision blurs at distance when looks up from near work 19. Letters or lines run together or words jump when reading 20. Print seems to move or go in and out of focus when reading 21. Poor spelling skills 22. Writing is crooked or poorly spaced 23. Misaligns letters or numbers 24. Makes errors copying 25. Difficulty tracking moving objects 26. Unusual clumsiness, poor coordination 27. Difficulty with or avoiding sports 28. Eye turns in or out 29. Sees more clearly with one eye than the other 30. Feels sleepy while reading 31. Visual perceptual or visual processing problems (memory, directions, processing speed) 32. Visual motor integration disorders 33. Non-Verbal Learning disorders 34. Performance scores lower than verbal scores 35. Dislikes tasks requiring sustained concentration 36. Avoids near tasks such as reading 37. Confuses right and left directions 38. Becomes restless when working at his/her desk 39. Tends to lose awareness of surroundings when concentrating 40. Must feel things to see them 41. Carsickness 42. Eyes bothered by light 43. Unusual blinking 44. Unusual eye rubbing 45. Dry eyes 46. Watery eyes 47. Red eyes

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If you experience any of the following symptoms, consider scheduling a functional vision evaluation with Dr. Patel at Family Eye Wellness.

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Symptom Checklist

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