Ask your child the following questions, their score will automatically be provided in the number box below.

1. Do your eyes feel tired when reading or doing close work?*

2. Do your eyes feel uncomfortable when reading or doing close work?*

3. Do you have headaches when reading or doing close work?*

4. Do you feel sleepy when reading or doing close work?*

5. Do you lose concentration when reading or doing close work?*

6. Do you have trouble remembering what you have read?*

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

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

9. Do you feel like you read slowly?*

10. Do your eyes ever hurt when reading or doing close work?*

11. Do your eyes ever feel sore when reading or doing close work?*

12. Do you feel a pulling feeling around your eyes when reading or doing close work?*

13. Do you notice words blurring or coming in and out of focus when reading or doing close work?*

14. Do you lose your place while reading or doing close work?*

Score

What does the score mean?

0 to 8: It is unlikely that your child has a vision problem interfering with school performance.

9 to 16: A vision problem may be interfering with your child’s school performance.

Above 16: A vision problem is probably interfering with your child’s school performance.

What to do next?
If your child has scored greater than 8, it is highly recommended to schedule an eye exam with an optometrist experienced in children’s vision and vision therapy. This eye examination should include the aspects of vision that might be affecting your child, such as lazy eye, eye tracking, convergence, focusing and visual processing.