| Do you skip words or lines when reading? | | |
| Do you reread lines? | | |
| Do you lose your place? | | |
| Are you easily distracted when reading? | | |
| Do you need to take breaks often? | | |
| Do you find it harder to read the longer you read? | | |
| Do you get headaches when you read? | | |
| Do your eyes get red and watery? | | |
| Does reading make you tired? | | |
| Do you blink or squint? | | |
| Do you prefer to read in dim light? | | |
| Do you read close to the page? | | |
| Do you use your finger or other markers? | | |
| Do you get restless, active, or fidgety when reading? | | |
