Visual Perception

Below I completed a checklist on a student's vision. Any score that is 15 or higher should be referred for vision problem. The student does wear glasses (but not consistently). He displays a lot of these symptoms. He scored a 16. 

Child Symptom Checklist

(To determine whether a vision evaluation should be administered)

Has your child ever reported or have you or anyone else noticed any of the following?

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 or writing

8. _×_____Reads very slowly

9. ___×__Poor reading comprehension

10. __×_Difficulty remembering what has been read

11. ___×___Holds head too close to paper when reading or writing (within 7-8 inches)

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

13. ___×___Unusual posture or head tilt when reading or writing

14. ______Headaches following intense visual activities such as reading

15. ______Eyes hurt or feel tired after close work

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. ______Dislikes tasks requiring sustained concentration

32. ______Avoids near tasks such as reading

33. ______Confuses right and left directions

34. _×_____Becomes restless when working at his/her desk

35. ______Tends to lose awareness of surroundings when concentrating

36. ______Must “feel” things to “see” them

37. ______Carsickness

38. ___×___Unusual blinking

39. ____×__Unusual eye rubbing

40. __×___Dry eyes

41. ______Watery eyes