1. Do you have problems working from a test booklet to an answer sheet?
  2. Do you have difficulty or experience problems mixing arithmetic signs (+/x)?
  3. Did you have any problems learning in elementary school?
  4. Do you have any difficulty remembering how to spell simple words you know?
  5. Do you have difficulty filling out forms?
  6. Did you (do you) experience difficulty memorizing numbers?
  7. Do you have trouble adding and subtracting small numbers in your head?
  8. Do you have difficulty or experience problems taking notes?
  9. Were you ever in a special program or given extra help in school?