1. Blur when looking at near {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

2. Double vision, doubled or overlapping words on page {{ 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 Online Vision Test score does not suggest a vision problem.

3. Headaches while or after doing near vision work {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

4. Words appear to run together when reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

5. Burning, itching, stinging, or watery eyes {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

6. Falling asleep when reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

7. Seeing and visual work is worse at the end of the day {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

8. Skipping or repeating lines when reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

9. Dizziness or nausea associated with near work {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

10. Head tilt or one eye is closed or covered while reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

11. Difficulty copying from chalkboard {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

12. Reversals of letters like “b’s” & “d’s” or “p’s” & “q’s” {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

13. Avoidance of doing near work such as reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

14. Omitting (dropping out) small words when reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

15. Writing uphill or downhill {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

16. Misaligning digits in columns of numbers {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

17. Reading comprehension low, or declines as day wears on {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

18. Poor, inconsistent performance in sports {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

19. Holding books too close, leans too close to computer screen {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

20. Trouble keeping attention centered on reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

21. Difficulty completing assignments in reasonable time {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

22. First response is “I can’t” before trying {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

23. Avoiding sports and games {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

24. Poor hand/eye coordination, such as poor handwriting {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

25. Inability to estimate distances accurately {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

26. Clumsy, accident prone, knocks things over {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

27. Misplaces or loses papers, objects, belongings {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

28. Car sickness/motion sickness {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

29. Forgetful, poor memory {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

30. Very sensitive to lighting (too light or dark) when reading {{ Cognito.resources["required-asterisk"] }} , { binding firstError.message }

{binding displayValue}

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