Blur when looking up close

Never

Sometimes

Often

Double vision

Never

Sometimes

Often

Headaches working up close

Never

Sometimes

Often

Words run together when reading

Never

Sometimes

Often

Burning, itchy, watery eyes

Never

Sometimes

Often

Falls asleep when reading

Never

Sometimes

Often

Sees worse at the end of the day

Never

Sometimes

Often

Skips/repeats lines when reading

Never

Sometimes

Often

Dizziness/nausea with near work

Never

Sometimes

Often

Tilts head/closes one eye when reading

Never

Sometimes

Often

Difficulty copying from chalkboard

Never

Sometimes

Often

Avoids near work/reading

Never

Sometimes

Often

Omits small words when reading

Never

Sometimes

Often

Writes uphill or downhill

Never

Sometimes

Often

Misaligns digits or columns of numbers

Never

Sometimes

Often

Poor reading comprehension

Never

Sometimes

Often

Poor/inconsistent in sports

Never

Sometimes

Often

Holds reading material too close

Never

Sometimes

Often

Trouble keeping attention on reading

Never

Sometimes

Often

Difficulty completing assignments on time

Never

Sometimes

Often

Avoids sports or games

Never

Sometimes

Often

Poor handwriting

Never

Sometimes

Often

Does not judge distance accurately

Never

Sometimes

Often

Clumsy/knocks things over

Never

Sometimes

Often

Car/motion sickness

Never

Sometimes

Often

Labeled “lazy”, “slow learner”, “AD(H)D” or “behavior problem”

Never

Sometimes

Often

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