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Take The Vision Quiz

Vision and Learning Checklist

Please fill out the following checklist to reflect your child or student’s experiences. Rate the following symptoms or scenarios on a scale of 0-4 as it most suitably applies to the patient.

0 = never

1 = rarely

2 = sometimes

3 = frequently

4 = always

 

The child or caretaker can fill out the questionnaire. If possible, it is recommended for the child to participate, however having a parent or teacher answer the following questions is also a great option.

never (0)rarely (1)sometimes (2)frequently (3)always (4)
Do you have a hard time gauging distance accurately?
Do you avoid reading or work that requires material to be up close?
Do you get headaches from work that is close up?
Do you experience motion sickness?
Do you not enjoy sports or find that you have inconsistent performance when participating in sports?
Do you notice that you have to sit close to the computer to see?
never (0)rarely (1)sometimes (2)frequently (3)always (4)
Do you skip or repeat lines?
Do you see double or blurry?
Do you feel exhausted?
Do you tilt your head or close an eye?
Do you skip small print when reading?
Do you have difficulty with reading comprehension?
Do you read very close up?
Do you find that it is hard to pay attention when reading?
Do you notice that you need to use your finger or something else to keep your place?
Is it easier if you close one eye?
Do you have better reading comprehension when someone else reads to you?
never (0)rarely (1)sometimes (2)frequently (3)always (4)
Do you find yourself re-reading in order to understand it?
Is it hard to remember what you read?
never (0)rarely (1)sometimes (2)frequently (3)always (4)
Do you confuse or reverse numbers/ letters?
Do you write on an upward or downward slant?
Do you have a hard time writing down answers and you find it easier to answer orally?
never (0)rarely (1)sometimes (2)frequently (3)always (4)
Do you struggle with time management?
Do you say “I can’t do it” before attempting to do so?
Do you bump into things and knock them over?
Do you tend to lose things?
Do you get frustrated often?
Do one or both of your eyes tend to wander in/ out/ up/ down?
never (0)rarely (1)sometimes (2)frequently (3)always (4)
Do you have a hard time with homework overall?
Is it challenging turning in projects on time?
Do you find it difficult to remember things?
Do you have a hard time looking down at your desk to copy notes from a board?
Do you misnumber rows or columns of numbers?
Do you have a hard time in math class?
Do you benefit from extra help?

20-24 points = suspect for binocular vision problem 

> 25 points or more = refer for developmental eye exam

 

If a child has multiple symptoms or any symptom that occurs always, the child should be assessed by a developmental optometrist. If you are unsure whether the symptoms require a developmental eye exam, please contact a nearby Specialty Vision Practice.

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Take The Vision Quiz

School Vision Screenings Give Less Than 4% of a Comprehensive Eye Exam

American Optometric Association

Signs, Symptoms, and Indicators

Although there is no one size fits all way of determining if vision therapy is right for you, the following quiz can give you a good idea as to whether or not you should explore vision therapy.

If you answer more than 5 or more questions with “sometimes, frequently, or always,” we recommend you meet with an optometrist who specializes in vision therapy as soon as possible.

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