Checklist Survey for School-Age Students 8 and Up
Learning Difficulties Survey for Children Ages 8 and Up
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Answer the following questions about your child’s learning challenges.
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If you answered YES to 4 or more of these checklist questions,
your child may benefit from an educational assessment.
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Question 1 of 10
1. Question
1 pointsDoes your child struggle with reading quickly and understanding what he/she has read?
Correct
Answered YES
Incorrect
Answered NO
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Question 2 of 10
2. Question
1 pointsDoes your child forget math facts?
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Incorrect
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Question 3 of 10
3. Question
1 pointsDoes your child get frustrated and spend an unreasonable amount of time on homework?
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Incorrect
Answered NO
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Question 4 of 10
4. Question
1 pointsIs your child unaware of time?
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Incorrect
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Question 5 of 10
5. Question
1 pointsDoes your child have difficulty organizing personal space and time?
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Answered YES
Incorrect
Answered NO
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Question 6 of 10
6. Question
1 pointsDoes your child have difficulty focusing?
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Question 7 of 10
7. Question
1 pointsDoes your child have difficulty following three-step directions?
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Question 8 of 10
8. Question
1 pointsDoes your child have difficulty writing legibly?
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Question 9 of 10
9. Question
1 pointsDoes your child have difficulty spelling?
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Question 10 of 10
10. Question
1 pointsDoes your child have difficulty solving problems?
Correct
Answered YES
Incorrect
Answered NO