Checklist

Please note that some items on this list may only apply to first grade. Omit those items.

Section I

  1. When I was in school I could make A's in spelling, but was unable to retain the words for any length of time.

  2. I can remember spelling words if they are given in the same order each time but not if the order is changed.

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  3. I have difficulty remembering the sequence of letters in words.

  4. I tend to spell words the way they sound.

  5. Learning and using phonic sounds is/was difficult for me.

Section II

  1. I have difficulty remembering what I read.

  2. I have difficulty comprehending what I read.

  3. I prefer to read in dim, rather than bright, light.

  4. I often turn my book in different directions to get proper focus of letters.

Section III

  1. I remember having a lot of homework in school; more than my friends.

  2. A parent or sibling often helped me with my homework.

  3. Homework completion was a nightly struggle in our home.

  4. Sometimes I deliberately forgot to bring homework home because of embarrassment or because it seemed overwhelming.

Section IV

  1. The teacher(s) indicated that I was lazy.

  2. The teacher(s) indicated that I was not working up to my potential.

  3. The teacher(s) indicated that I could 'do the work if I tried.'

  4. The teacher(s) indicated that I was not motivated.

  5. The teacher(s) indicated that I did not pay attention in class.

  6. I often got frustrated in class.

  7. I was often unable to complete my schoolwork on time.

  8. I was often slow or inaccurate when copying from the chalkboard.

Section V

  1. I had poor work habits in school.

  2. I am often disorganized.

  3. I tend to have poor work habits.

  4. I often have trouble keeping track of my possessions.

  5. I have a poor sense of time. (inability to judge how long a task will take, for example)

  6. I have a poor or unusual grasp of writing instruments.

  7. I have messy handwriting.

  8. I have difficulty remembering names and symbols.

  9. I have to make written lists in order to remember things.

  10. I often have to reread directions to keep them in order.

  11. Sometimes I have difficulty pronouncing words correctly or expressing my ideas clearly.

Section VI

  1. I am often unable to put my thoughts down in writing.

  2. Writing is a painful process for me so I tend to avoid it.

  3. Accurately copying from books or papers is very difficult for me. (this includes both words and math problems)

  4. I am slow at writing legibly.

  5. Math seems easier for me than writing.

  6. When I am working on math problems, the numbers often become misaligned.

Section VIII

  1. My parents expected me to do well in school because I exhibited intelligent behaviors before entering.

  2. My siblings all all do/did well in school.

  3. I have chosen a profession which does not require me to read extensively or spell accurately.

  4. I have always felt that I am "different" from others in the way I process information.