Vision Quiz

Have you observed any of the following symptoms with your student(s) and/or have they reported any of them to you?  Please mark the symptoms that occur frequently with two checks and those that occur occasionally with one check.

15+ points: Consult with a developmental optometrist at Vision & Conceptual Development Center

15-20= Possible functional vision problems.

20-30= Probable functional vision problems.

Over 30= Definite functional vision problems.

Score 3 points each for items 1-34 Score 2 points each for items 35-41 Score 1 point each for items 42-47 Score Double points for every item with two checks.

  1. ___Skips lines while reading or copying                 

  2. ___Loses place while reading or copying               

  3. ___Skips words while reading or copying                              

  4. ___Substitutes words while reading or copying

  5. ___Rereads words or lines

  6. ___Reverses letters, numbers or words

  7. ___Uses a finger or marker to keep place while reading/writing

  8. ___Reads very slowly

  9. ___Poor reading comprehension

10. ___Difficulty remembering what has been read

11. ___Holds head too close when reading/writing (within 7-8 in.)

12. ___Squints, closes, or covers one eye while reading

13. ___Unusual posture/head tilt when reading/writing

14. ___Headaches following intense reading/computer work

15. ___Eyes hurt or feel tired after completing a visual task

16. ___Feels unusually tired after completing a visual task

17. ___Double vision

18. ___Vision blurs at distance when looks up from near work

19. ___Letters or lines “run together” or words “jump” when reading

20. ___Print seems to move or go in and out of focus when reading

21. ___Poor spelling skills

22. ___Writing is crooked or poorly spaced

23. ___Misaligns letters or numbers

24. ___ Makes errors copying

25. ___ Difficulty tracking moving objects

26. ___ Unusual clumsiness, poor coordination

27. ___ Difficulty with sports involving good eye-hand coordination

28. ___ Eye turns in or out

29. ___ Sees more clearly with one eye than the other

  1. ___Skips lines while reading or copying                 

  2. ___Loses place while reading or copying               

  3. ___Skips words while reading or copying                              

  4. ___Substitutes words while reading or copying

  5. ___Rereads words or lines

  6. ___Reverses letters, numbers or words

  7. ___Uses a finger or marker to keep place while reading/writing

  8. ___Reads very slowly

  9. ___Poor reading comprehension

10. ___Difficulty remembering what has been read

11. ___Holds head too close when reading/writing (within 7-8 in.)

12. ___Squints, closes, or covers one eye while reading

13. ___Unusual posture/head tilt when reading/writing

14. ___Headaches following intense reading/computer work

15. ___Eyes hurt or feel tired after completing a visual task

16. ___Feels unusually tired after completing a visual task

17. ___Double vision

18. ___Vision blurs at distance when looks up from near work

19. ___Letters or lines “run together” or words “jump” when reading

20. ___Print seems to move or go in and out of focus when reading

21. ___Poor spelling skills

22. ___Writing is crooked or poorly spaced

23. ___Misaligns letters or numbers

24. ___ Makes errors copying

25. ___ Difficulty tracking moving objects

26. ___ Unusual clumsiness, poor coordination

27. ___ Difficulty with sports involving good eye-hand coordination

28. ___ Eye turns in or out

29. ___ Sees more clearly with one eye than the other

30. ___ Feels sleepy while reading

31.___ Visual perceptual or visual processing problems

___Difficulty with visual memory or visual sequencing

___Difficulty with visual-spatial concepts

___Directional confusion

___Impaired performance with copying

___Deficits in visual processing speed

32.___ Visual motor integration disorders

33.___ Non-Verbal Learning disorders

34.___ Performance scores not comparable to verbal scores

35. ___ Dislikes tasks requiring sustained concentration

36. ___ Avoids near tasks such as reading

37. ___ Confuses right and left directions

38. ___ Becomes restless when working at his/her desk

39. ___ Tends to lose awareness of surroundings when concentrating

40. ___ Must “feel” things to see them

41. ___ Carsickness

42. ___ Eyes bothered by light

43. ___ Unusual blinking

44. ___ Unusual eye rubbing

45. ___ Dry eyes

46. ___ Watery eyes

47. ___ Red eyes