Learning Disabilities: At-Risk Summary Checklist
Expect to see NO to these questions:
1 VISION problems may have interfered with learning.
yes
no
2 HEARING problems may have interfered with learning.
yes
no
3 HEALTH problems or PHYSICAL DISABILITIES may have interfered with learning.
yes
no
4 Irregular attendance may have interfered with learning.
yes
no
5 Lack of motivation, personal concerns and poor application
to studies may have interfered with learning.
to studies may have interfered with learning.
yes
no
YES responses to the following questions may suggest a Learning Disability:
6 Student seems competent in a number of areas and
seems to be of at least average intellectual ability.
yes
no
7 There is variability in abilities with many strengths and
some or many problem areas.
yes
no
8 There is difficulty in learning (listening / speaking / reading /
writing / math / organization / problem-solving / memory/ concentration/basic life skills).
yes
no
9 There is a history of difficulties in learning from a young age
yes
no
10 There is a previous diagnosis of learning disabilities.
yes
no
11 There is a history of special help in school.
yes
no
12 There is a discrepancy between the highest grade
completed and the number of years to complete studies, despite regular attendance at school.
yes
no
13 There is a family history of specific learning disabilities.
yes
no
14 For ESL adults, there is difficulty learning English literacy
skills as well as literacy skills in native language or difficulties learning literacy skills in native language.
yes
no
Future directions:
Link items with specific items from questionnaires
Additional items:
15 Speech and language difficulties
yes
no
Add section on Referrals:
Action Plan:
Refer for further assessment
Refer for academic supports, career counseling, tutoring
