Irlen Syndrome Child Self Test

  • PERSONAL DETAILS

  • GENERAL INDICATORS

  • While reading does your child:

  • Does your child:

  • VISUAL RESOLUTION

  • Please ask your child:

  • EYE STRAIN / FATIGUE - While reading does your child:

  • While reading does your child:

  • COPYING

  • Does your child:

  • PHOTOPHOBIA (Light Sensitivity)

  • Does your child:

  • DEPTH PERCEPTION

  • Does your child:

  • This field is for validation purposes and should be left unchanged.

(make sure you print before you submit)