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Student Date of Birth
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Warning Signs of Dyslexia
Please have all adults/guardians in the home be a part of the completion of this form.
In Preschool
delayed speech
mixing up the sounds and syllables in long words
chronic ear infections
severe reactions to childhood illnesses
constant confusion of left versus right
late establishing a dominant hand
difficulty learning to tie shoes
trouble memorizing their address, phone number, or the alphabet
can't create words that rhyme
a close relative with dyslexia
Other
In Elementary School
dysgraphia (slow, non-automatic handwriting that is difficult to read)
letter or number reversals continuing past the end of first grade
extreme difficulty learning cursive
slow, chopping inaccurate reading: guessing based on shape or context, skips or misreads prepositions (at, to, of), ignores suffixes, can't sound out unknown words
terrible spelling
often can't remember sight words (they, were, does) or homonyms (their, they're, there)
difficulty telling time with a clock with hands
trouble with math: memorizing multiplication tables, memorizing a sequence of steps, directionality
when speaking, difficulty finding the correct word: lots of "whatyamacallits" and "thingies," common sayings come out slightly twisted
extremely messy bedroom, backpack, and desk
dreads going to school: complains of stomach aches or headaches, may have nightmares about school
Other
In High School: All of the above plus:
limited vocabulary
extremely poor written expression: large discrepancy between verbal skills and written compositions
unable to master a foreign language
difficulty reading printed music
poor grades in many classes
may drop out of high school
Other
In Adults: Education history similar to above, plus:
slow reader
may have to read a page 2 or 3 times to understand it
terrible speller
difficulty putting thoughts onto paper: dreads writing memos, emails, letters
still has difficulty with right versus left
often gets lost, even in a familiar city
sometimes confuses b and d, especially when tired or sick
Other
Other Details & Warning Signs
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