Vision Therapy Self-Assessment

Welcome to your Vision Therapy Self-Assessment

Do you get headaches with reading or near work?

 

Do your eyes feel tired when reading or doing near work?

 

Do your eyes feel uncomfortable when reading or doing near work?

 

Do you feel sleepy when reading or doing near work?

 

Do you lose concentration when reading or doing near work?

 

Do you have trouble remembering what you have read?

 

Do you have double vision when reading or doing close work?

 

Do you see the words move, jump, swim or appear to float on the page?

 

Do you feel like you are a slow reader?

 

Do your eyes hurt when you read or do near work?

 

Do your eyes feel sore when you read or do near work?

 

Do words run together on the page when you read?

 

Do you feel a pulling feeling around your eyes when you read or do near work?

 

Do you notice the words blurring or coming in and out of focus when reading or doing near work?

 

Do you lose your place when reading or doing near work?

 

Do you have to re-read the same line of words when reading?

 

Do you get itchy or watery eyes?

 

Do you skip or repeat lines when you read?

 

Do you tilt your head or close one eye when reading?

 

Do you have difficulty copying from the board in class or looking from far to close up in general?

 

Do you avoid near work or reading?

 

Do you omit small words when reading?

 

Do you write uphill or downhill?

 

Do you misalign digits/ columns of numbers?

 

Do you have poor reading comprehension?

 

Do you hold books or reading material very close to your eyes?

 

Do you have a short attention span with reading or near work?

 

Do you have difficulty completing assignments on time?

 

Do you say “I can’t” before trying something

 

Are you clumsy/ knock things over?

 

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