TO TAKE THE TEST {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

1. Do your eyes feel tired when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2. Do your eyes feel uncomfortable when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

3. Do you have headaches when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

4. Do you feel sleepy when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

5. Do you lose concentration when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

6. Do you have trouble remembering what you have read? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

7. Do you have double vision when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

IMPORTANT NOTE: Frequent double vision HIGHLY suggests a binocular vision problem. If you or your child experience double vision often, we strongly recommend a Developmental Vision Evaluation even if your test score does not suggest a vision problem.

8. Do you see the words move, jump, swim or appear to float on the page when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

9. Do you feel like you read slowly? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

10. Do your eyes ever hurt when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

11. Do your eyes ever feel sore when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

12. Do you feel a “pulling” feeling around your eyes when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

13. Do you notice the words blurring or coming in and out of focus when reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

14. Do you lose your place while reading or doing close work? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

15. Do you have to re-read the same line of words when reading? {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}