Dyslexia Checklist Please place a ✓ next to all the statement(s) that describe you or your child’s experience. For Grades K-12. Section 1: Lived Experience Diagnosed to have dyslexia by a psychologist or dyslexia specialist. Is or was on an IEP or 504 for a learning disability in primary, middle school and/or high school. Teachers comment my child, or I is/was lazy. Teachers often said if my child or I tried harder they/I could do the work The teacher reports my child/I gets/got frustrated in class Had/has difficulty learning to tie shoes Had/has difficulty learning to ride a bike Homework is a complete struggle Sometimes homework is/was left at school because it is overwhelming Classwork is/was unable to be completed on time My child is sent home with the unfinished classwork in addition to the routine assigned homework Has one or more hours of homework (first grade and up) each night; spends more time on homework than the teacher expects It is uncomfortable to read aloud Avoids projects that require a significant amount of reading Reading is not a leisure interest There is a family history of dyslexia or reading challenges Reading is below grade level, but when read to comprehension is at grade level or above Section 2: Sensory Unable to get comfortable at a desk or table when doing schoolwork Fidgets and wiggles when working on schoolwork Easily distracted Difficulty concentrating Bothered by bright light, noise, textures of clothing and/or food Has difficulty managing time Has difficulty with change and/or transitioning from on activity to the next Has difficulty keeping track of possessions Section 3: Vision Skips lines while reading or copying Loses place while reading or copying Skips whole words while reading or copying Substitutes words while reading or copying Reverses lines, letters, numbers or words Uses finger or a ruler to keep place while reading Squints, closes, or overs one eye while reading Eyes hurt or have a headache when reading Lines run together or letters move along the page while reading Easily fatigues when reading Unusual eye rubbing or blinking when reading Confuses left and right directions Makes errors when copying Unusual head tilting or leaning close to paper when reading or writing Misaligns letters and/or numbers Double or blurry vision Dislikes tasks requiring sustained concentration Avoids near tasks Carsickness Is disorganized Section 4: Memory Regardless of study efforts my child/I was not able to remember what was studied on the day of the test Often slow and inaccurate when copying items from the board My child/I says they/I tell their teachers they need more help and after the help they still do not understand Can remember spelling words if they are in the same order. If the order is changed, they cannot remember the correct spelling Is able to give correct answers verbally, but not written Has difficulty remembering lists and/or directions. (For example, a three step direction such as “Go upstairs, pick up your red shirt, and put it in the laundry basket.”) Has difficulty pronouncing words and expressing their ideas. Has difficulty remembering symbols Has difficulty learning a foreign language Reading is easy, but it is a struggle to remember what was read and pages need to be re-read several times Section 5: Processing What Is Heard Difficulty understanding conversation in a noisy environment (i.e., restaurant, family gatherings, on the playground, noisy classroom Difficulty with rhyming Tends to spell words the way they sound Still has spelling errors with writing even when using spell check Great difficulty to recall (immediately or any time later) when learning a name for a letter, the sounds of letters or letter combinations, or to read words