PSG Vishnugranthi

Dyslexia Screening

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Child's Details

Screening Questions

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Step 1 of 2

Child's Information

Please fill in the details below before proceeding to the questions.

Full Name *

Date of Birth *

Age *

Gender *

Class / Grade

Parent / Guardian Name *

Contact Number *

Aadhaar Card Number *

Parent's Consent *

School Name

Step 2 of 2

Screening Questions

Select the response that best describes the child. Answer all 14 questions honestly.

Question 1 / 14

Does the child refuse to go to school

Yes

Question 2 / 14

Pauses, repeats or makes frequent mistakes when reading aloud.

Yes

Question 3 / 14

Has difficulty reading unfamiliar words and often guesses at them.

Yes

Question 4 / 14

Mispronounces (or used to) only certain words (e.g., says amunul for animal, poothtaste for toothpaste).

Yes

Question 5 / 14

Does this child has stammering while talking

Yes

Question 6 / 14

Struggles to understand what he or she has read.

Yes

Question 7 / 14

Doesn't like to read for fun.

Yes

Question 8 / 14

Makes frequent spelling errors.

Yes

Question 9 / 14

Has messy handwriting.

Yes

Question 10 / 14

Has trouble with punctuation and capitalization.

Yes

Question 11 / 14

Resists writing tasks.

Yes

Question 12 / 14

Becomes frustrated or angry when doing school work.

Yes

Question 13 / 14

Is he interested in other activities like singing, dancing, painting, etc

Yes

Question 14 / 14

Has a blood relative with a history of reading, spelling, or writing problems.

Yes

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