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The Wright Psychology and Learning Center, PLLC

Dyslexia Symptom Checklist


Name of person being evaluated: ______________________________

Age: ______

Date completed: ________________ Name of person completing form: _____________________


Please place an X next to any that apply to the person being evaluated.
If more than 3 warning signs are present, the child should be evaluated for dyslexia.
In Preschool
___

delayed speech

___

mixing up the sounds and syllables in long words

___

articulation difficulties, especially with /r/, /l/, /m/, and /n/

___

problems with stuttering

___

chronic ear infections

___

severe reactions to childhood illnesses

___

confusion of left/right, over/under, before/after, and other directionality concepts

___

late establishing a dominant hand

___

difficulty learning to tie shoes

___

trouble memorizing their address, phone number, or the alphabet

___

difficulty creating words that rhyme

___

a close relative with dyslexia or ADD/ADHD

In Elementary School
___

dysgraphia (slow, non-automatic handwriting that is difficult to read)

___

letter or number reversals continuing past the end of first grade

___

extreme difficulty learning cursive

___

slow, choppy, inaccurate reading:

Guesses based on shape or context


Skips or misreads prepositions (at, to, of)
Ignores suffixes
Cant sound out unknown words

___

terrible spelling

___

often cant remember sight words (they, were, does) or homonyms (their, theyre and there)

___

difficulty telling time with a clock with hands

4010 Dupont Circle Suite L-09


Louisville, KY 40207
Phone (502) 807-9551; Fax (502) 614-8648
www.wrightchildpsychology.com

___

reverses letters or numbers when writing

___

trouble with math

___

memorizing multiplication tables


memorizing sequence of steps
directionality

when speaking, difficulty finding the correct word

lots of whatyamacallits and thingies


common sayings come out slightly twisted

___

extremely messy bedroom, backpack, and desk

___

dreads going to school

complains of headaches or stomachaches


may have nightmares about school

In High School
All of the above symptoms plus:
___

limited vocabulary

___

extremely poor written expression

large discrepancy between verbal skills and written composition

___

unable to master a foreign language

___

difficulty reading printed music

___

poor grades in many classes

___

may drop out of high school

In Adults
Education history similar to above, plus:
___

slow reader

___

may have to read a page 2 or 3 times to understand it

___

terrible speller

___

difficulty putting thoughts onto paper

dreads writing memos or letters

___

still has difficulty with right versus left

___

often gets lost, even in a familiar city

___

sometimes confuses b and d, especially when tired or sick

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