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Quiz
Step
1
of
16
6%
Difficulty staying focused to complete a learning task
*
Yes
No
Difficulty paying attention to ‘boring’ things BUT having good attention for things that are interesting
*
Yes
No
Difficulty turning off the television, computer, or other electronics with screens
*
Yes
No
Behind grade level
*
Yes
No
Difficulty getting started on homework, chores, etc.
*
Yes
No
Assignments/chores take a long time to complete
*
Yes
No
Easily overwhelmed and frustrated by homework, schoolwork, or learning something new
*
Yes
No
Says (or believes) things like “I’m dumb”, I’ll never ‘get’ it, ….
*
Yes
No
Gives up easily - doesn’t give things his/her ‘best effort’
*
Yes
No
Difficulty finding belongings - loses things
*
Yes
No
Difficulty organizing things like desk, backpack, toys
*
Yes
No
Difficulty organizing ideas when telling (or writing) a story - goes ‘on and ‘on’ but has difficulty getting ‘to the point of the story’
*
Yes
No
Slumps, sits on leg, or lays on table when working
*
Yes
No
Has difficulty staying seated for homework, dinner time, etc.
*
Yes
No
Picky about clothes, foods, noise
*
Yes
No
Has difficulty forming letters and spacing them when writing
*
Yes
No
Has difficulty throwing and/or catching a ball or learning to ride a bike
*
Yes
No
Bumps into people and things frequently - loses balance
*
Yes
No
Has difficulty hearing in a noisy classroom
*
Yes
No
Misunderstands instructions - does something different than was asked (not out of defiance)
*
Yes
No
Frequently says “What?” and often asks to have things repeated
*
Yes
No
Loses place when reading
*
Yes
No
Skips words, substitutes words, adds words when reading
*
Yes
No
Guesses words when reading
*
Yes
No
Misses comprehension questions
*
Yes
No
Does poorly on a test after studying hard and feeling well prepared
*
Yes
No
Difficulty remembering words that have been previously mastered
*
Yes
No
Difficulty putting story parts in order - what happened first, second, third
*
Yes
No
You often remind him/her to “Look at me when I’m talking.”
*
Yes
No
Can remember lines from movies, songs, etc and likes to repeat them
*
Yes
No
Difficulty remembering 2 or 3 directions
*
Yes
No
Loses train of thought if interrupted
*
Yes
No
Difficulty remembering facts when having to use or combine new information - like remembering the idea for the sentence being written if it is necessary to remember how to spell a difficult word or getting confused solving math problems where s/he must remember a math fact as well as the order of the steps to solving the problem
*
Yes
No
Difficulty remembering to do all the parts of multi-step assignments
*
Yes
No
Difficulty remembering the spelling of a word to write it down if heard aloud or while copying from the white board - needs spelling repeated or looks up at the board several times to write it down
*
Yes
No
Repeats information over and over to remember it
*
Yes
No
Difficulty describing ‘What happened’
*
Yes
No
Difficulty estimating the amount of time needed for completing assignments - rushes to finish
*
Yes
No
Not self-motivated - difficulty working independently
*
Yes
No
Blurts out answers
*
Yes
No
Name
*
Email Address
*
If your wondering if we can help your child, you can start with this questionnaire.
take our quiz now
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