Parents Check List for
Learning Related Vision Problems
| 1. My child has difficulty concentrating and paying attention. |
|
1. never |
2. sometimes |
3. often |
| 2. My child requires a lot of time to complete homework. |
|
1. never |
2. sometimes |
3. often |
| 3. My child complains of blurred vision, or double vision when reading. |
|
1. never |
2. sometimes |
3. often |
| 4. My child complains of eyestrain or headaches when reading. |
|
1. never |
2. sometimes |
3. often |
| 5. My child loses his/her place when reading or skips words or lines. |
|
1. never |
2. sometimes |
3. often |
| 6. My child has difficulty copying from the board. |
|
1. never |
2. sometimes |
3. often |
| 7. My child has difficulty with handwriting. |
|
1. never |
2. sometimes |
3. often |
| 8. My child reverses letters, numbers or confuses similar words. |
|
1. never |
2. sometimes |
3. often |
| 9. My child becomes tired or sleepy after short periods of time or his/her reading comprehension deteriorates with time. |
|
1. never |
2. sometimes |
3. often |
| 10. My child has struggled in school. |
|
1. never |
2. sometimes |
3. often |
Add up the total score for the ten questions and compare it to the following guidelines
| Score |
What The Score Means |
| 10-12 |
Your child probably does not have a vision problem interfering with school performance. |
| 13-18 |
Your child may have a vision problem interfering with school performance. |
| 19-30 |
Your child almost certainly has a vision problem interfering with school performance. |
If a child has a score greater than 12 it is strongly suggested that an evaluation be done testing those aspects of vision that might be contributing to learning difficulties. If a problem is detected, a Vision Therapy program may be recommended to eliminate the vision disorders.