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Please mouse click in the box if a yes answer to the question:

Are you light sensitive

Frequently wear sunglasses
Bothered by bright or fluorescent lights
Get a headache from bright or fluorescent lights
Feel fidgety under bright or fluorescent lights
Harder to listen under bright or fluorescent lights
Performance deteriorates under bright or fluorescent lights
Turn on all the lighting when reading
Turn off lights when reading
Use fingers or other marker to block out part of the page
Shade the page with hand or body

Types of reading difficulties:

Skip words or lines
Repeat or reread lines
Lose place
Read in a "stop and go" rhythm
Omit small words
Poor reading comprehension
Reading becomes harder as you continue
Avoid reading for pleasure
Rereads for comprehension
Reversals of letters and/or numbers

While reading or using a computer, do you:

Rub eyes
Move closer to or further away
Open eyes wide
Incorporate breaks
Change position to reduce glare
Close or cover one eye
Read word by word
Unable to speed read

Do you feel strain, fatigue, tired, or have headaches when:

Doing paper and pencil tasks
Working on the computer
Watching TV, movies, or live stage production
Copying material
Doing maths
Playing video games
Working under bright or fluorescent lights
Looking at stripes, patterns, bright colours and high contrast


Write up or down hill
Unequal or no spacing between letters or words
Unequal letter size
Unable to write on the line
Leave out words, letters, or punctuation marks


Easily distracted when reading or writing
Easily distracted when listening
Easily distracted when taking tests
Daydreams in class
Problems staying on task
Problems starting tasks


Lose place (book, whiteboard, overhead)
Leave out words (book, whiteboard, overhead)
Slow (book, whiteboard, overhead)
Careless errors (book, whiteboard, overhead)
Difficulty re-focusing
Difficulty copying things onto or from the computer

Story writing:

Problems with punctuation
Problems seing mistakes
Leave out letters or words


Mis-align digits in number columns
Difficulty seeing numbers in the correct column
Sloppy or careless errors
Use finger, graph paper, or other when working with columns of numbers
Difficulty seeing signs, symbols, numbers, decimal points
Reversals of numbers


Problems sight reading notes
Prefer to memorise rather than read music
Prefer to play by ear
Use finger to track notes
Lose your place
Trouble reading the notes or notes and words together
Difficulty interpreting the music notations
Little progress in spite of regular practice

Depth Perception:

Difficulty getting on and off escalators and other moving objects
Bump into table edges or door jams
Difficulty walking up and/or down stairs
Difficulty judging distances
Drop or knock things over
Accident prone or often have bruises on your shins
When walking next to someone, do you drift into the person

Sports Performance:

Problems tracking a flying ball in golf, tennis, etc.
Trouble following the ball when watching sports on
TV such as tennis, football or basketball
Trouble catching or passing a ball
Difficulty hitting the ball when playing cricket, hockey or tennis
Trouble learning how to ride a bike
Trouble skipping ? Jump in at the wrong time or jump into the rope
On playground equipment such as rings or bars, was it hard to go from one to the other

If you answered yes to Three or more of these questions in any One of the above sections, then you might be experiencing the effects of a perception problem called Irlen Syndrome/ Scotopic Sensitivity.

Please highlight the complete form, copy and then paste to an email to

Irlen East


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