Adult Dyslexia Checklist

Name

Date

#		Rarely	Occasionally	Often	Most of the time	Total
1	Do you confuse visually similar words such as cat and cot?	3	6	9	12	Total
2	Do you lose your place or miss out lines when reading?	4	6	8	10	Total
3	Do you confuse the names of objects, for example table for chair?	1	2	4	4	Total
4	Do you have trouble telling left from right?	1	2	4	4	Total
5	Is map reading or finding your way to a strange place confusing?	1	2	4	4	Total
6	Do you re-read paragraphs to understand them?	1	2	4	4	Total
7	Do you get confused when given several instructions at once?	1	2	4	4	Total
8	Do you make mistakes when taking down telephone messages?	1	2	4	4	Total
9	Do you find it difficult to find the right word to say?	1	2	4	4	Total
10	How often do you think of creative solutions to problems?	1	2	4	4	Total

#		Easy	Challenging	Difficult	Very Difficult	Score
11	How easy do you find it to sound out words such as e-le-phant?	3	6	9	12	Score
12	When writing do you find it difficult to organize thoughts on paper?	2	4	6	8	Score
13	Did you learn your multiplication table easily?	2	4	6	8	Score
14	How easy do you find it to recite the alphabet?	1	2	3	4	Score
15	How hard do you find it to read aloud?	1	2	3	4	Score