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Dyslexia Screening Questionnaire

This document presents a 20-question dyslexia screener designed to assess the likelihood of dyslexia in individuals. Respondents rate their agreement with various statements related to reading and learning difficulties, with a scoring system to interpret results. Scores range from insignificant signs of dyslexia to significant signs, suggesting the need for formal testing based on the total score.

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Courtney McCloud
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100% found this document useful (1 vote)
83 views5 pages

Dyslexia Screening Questionnaire

This document presents a 20-question dyslexia screener designed to assess the likelihood of dyslexia in individuals. Respondents rate their agreement with various statements related to reading and learning difficulties, with a scoring system to interpret results. Scores range from insignificant signs of dyslexia to significant signs, suggesting the need for formal testing based on the total score.

Uploaded by

Courtney McCloud
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

This simple 20 question dyslexia screener is designed to uncover the likelihood of whether you or your

child has dyslexia. The results of this quiz will help to define whether you should pursue formal testing.

For each statement below circle the number that best represents your reaction to each question.
1. There is a history of dyslexia or reading problems in the family. (inquire with parents)

Strongly Disagree Disagree Neutral Agree Strongly Agree

1 2 3 4 5

2. Reading is slow and laborious.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

3. Lists and sequences, such as the alphabet, are/were very difficult to learn.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

4. Multi-syllable words are/were very difficult to pronounce (spaghetti is passgetti).

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

5. Letters with similar sounds are/were difficult to learn. e.g. /ě/ vs. /ă/, /f/ vs. /th/ or /t/ vs. /d/.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

6. Spelling and grammar is/was very difficult to master.

Strongly Disagree Agree Strongly Agree

© 2016 Dr. Erica Warren [Link] & [Link] 1


1 2 3 4 5

7. Letter, number and word reversals occur frequently (e.g. “was” as “saw” or “b” as “d”).

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

8. Rhyming words are/were difficult to learn.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

9. Telling time on a clock with hands (analog) is/was difficult to learn.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

10. Multi-step directions are/were difficult to follow.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

11. Finding the right words while speaking and writing is challenging.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

12. Directionality is/was very difficult. e.g. left vs. right, east vs. west.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

13. Listening to a teacher and taking notes is/was difficult.

© 2016 Dr. Erica Warren [Link] & [Link] 2


Strongly Disagree Agree Strongly Agree

1 2 3 4 5

14. Proofreading written work is challenging.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

© 2016 Dr. Erica Warren [Link] & [Link] 3


15. Expressing ideas in an organized way is difficult.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

16. Understanding word problems in math is challenging.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

17. Understanding jokes, puns, sarcasm and idioms is difficult.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

18. Maintaining a positive, academic self esteem is challenging.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

19. Filtering out background noise while learning or reading is difficult.

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

20. Distinguishing between words that sound or look similar is challenging - “effect" vs. “affect,"
“anecdote" vs. “antidote."

Strongly Disagree Agree Strongly Agree

1 2 3 4 5

Scoring: Add up each number circled above to tally your score: __________

Interpretation:

© 2016 Dr. Erica Warren [Link] & [Link] 4


● 1-65 Insignificant signs of dyslexia
● 66-75 Might have dyslexia
● 76-100 Significant signs of dyslexia - pursue psychoeducational testing to confirm

© 2016 Dr. Erica Warren [Link] & [Link] 5

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