TEACHER QUESTIONNAIRE

Many of the characteristics associated with dyslexia also are found in children with other specific learning disabilities or with speech/spoken language disorders. Some of the characteristics also may be present in some young children in the course of normal development. However, when these characteristics are not age-appropriate and interfere with learning, they may be symptoms of a language or learning disorder, including dyslexia and the child may need special assistance in academic or related areas.

Please check where applicable.

Characteristics that are associated with dyslexia include the following:

_____ Problems in learning the names of the letters of the alphabet
_____ Difficulty in learning to write the alphabet correctly in sequence
_____ Difficulty in learning and remembering printed words
_____ Reversal of letters or sequences of letters
_____ Difficulty in learning to read
_____ Difficulty in reading comprehension
_____ Cramped or illegible handwriting
_____ Repeated erratic spelling errors

Characteristics that may be associated with dyslexia:

_____ Delay in spoken language
_____ Difficulty in finding the "right" word when speaking
_____ May be late in establishing preferred hand for writing
_____ May be late in learning right and left and other directionality
            components such as up-down, front-behind, over-under, east-west and others
_____ Problems in learning the concept of time and temporal sequencing, i.e., yesterday-
            tomorrow, days of the week and months of the year
_____ Family history of similar problems

When these characteristics are not age-appropriate and interfere with learning, they may be symptoms of a language or learning disorder, including dyslexia, and the child may need special assistance in academic or related areas.