Free Dyslexia Screener - 6th Grade & Above

Free Dyslexia Screener - January 10th 6th grade & Above

Bentonville Public Library, Rotary Conf. Room - 405 S Main St, Bentonville AR 72712
DISCLAIMER: This is only a dyslexia screener which means it may show signs of dyslexia. It will not provide a formal diagnosis of dyslexia. If results of the screener show signs of dyslexia, we will recommend a full assessment. The screeners will be done in person at the Bentonville Public Library and should take approximately 15-20 minutes. Screeners will be given in groups of no more than 10 per group. Approximately a week after the screener, you will receive results via email with an opportuntity to schedule a phone consultation to discuss further.
Parent & Student Information
Parent/Guardian Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent Email: *
example@example.com
Phone Number*
Please enter a valid phone number.
Student Name*

First NameLast Name
Student Date of Birth*

MonthDayYear
Date
Student Age*
Student Grade*
Student History
Symptoms of dyslexia - please check all that apply:*

Delayed speechMixing up sounds or syllables in long wordsLeft/right confusionDifficulty memorizing address, phone numberDifficulty with rhymingSlow, non-automatic handwritingLetter or number reversals past the end of first gradeSlow, choppy, inaccurate readingDifficulty with spellingDifficulty remembering wordsDifficulty with written expression
Screener will be held on Jan 10th.

Please reserve below. Space is limited. If no slots available, please check back periodically as we add availability.
Appointment
Should be Empty:

Free Dyslexia Screener - January 10th 6th grade & Above

Parent & Student Information

Student History

Screener will be held on Jan 10th.