Functional Vision Symptom Checklist     

Any of the following symptoms may indicate a learning-related vision problem (LRVP).  

This is a "weighted" checklist meaning that, since some symptoms are more likely to indicate a functional visual problem, they will contribute more to the final score.  After you click on the symptoms that apply to you or your child, the list will score itself and will show your final score at the bottom.

After you have received your score and determined whether it is likely that you or your child have a functional visual problem such as LVRP, be sure to contact us to receive the report that explains what your test results mean in detail by entering your email address in the box to the right. 

Thanks for taking the test and learning how vision therapy can change your life!  We look forward to hearing from you soon!  

Skips words while reading or copying
Loses place while reading or copying
Skip lines while reading or copying
Substitute words while reading or copying
Reread words or lines
Reverse letters, numbers or words
Use a finger or marker to keep place while reading and/or writing
Read very slowly
Poor reading comprehension (unless read to)
Difficulty remembering what has been read
Holds head too close when reading and/or writing
Squint, close, or cover one eye while reading
Unusual posture/head tilt when reading and/or writing
Headaches following intense reading/computer work
Eyes hurt or feel tired after close work
Feel unusually tired after completing a visual task
Double vision
Eyesight blurs at distance when looking up from near work
Print seems to move or go in and out of focus
Letters and/or lines "run together" or words "jump" when reading
Crooked and/or poorly spaced handwriting
Misalign letters and/or numbers
Make errors when copying
Poor spelling skills
Difficulty tracking moving objects
Poor concentration abilities
Unusual clumsiness
Difficulty with sports requiring good eye-hand coordination
Feel sleepy when reading
Dislike tasks requiring sustained concentration
Avoid near tasks such as reading
Confuse right and left directions
Restlessness when working at a desk
Lose awareness of surroundings when concentrating
Must “feel” things to see them
Motion and/or car sickness
Unusual blinking
Unusual eye rubbing
Dry eyes
Watery eyes
Red eyes
Light sensitivity

Score: 0

Scoring criteria:    

·        10-15 points total = Possible functional vision problems 

·        16-30 points total = Probable functional vision problems  

·        Over 25 points total = Definite functional vision problems