| 1. Do you find it difficult telling left from right? | | |
| 2. Is map reading or finding your way to a strange place confusing? | | |
| 3. Do you dislike reading aloud? | | |
| 4. Do you take longer than you should to read a page of a book? | | |
| 5. Do you find it difficult to remember the sense of what you have read? | | |
| 6. Do you dislike reading long books? | | |
| 7. Is your spelling poor? | | |
| 8. Is your writing difficult to read? | | |
| 9. Do you get confused if you have to speak in public? | | |
| 10. Do you find it difficult to take messages on the telephone and pass them on correctly? | | |
| 11. When you say a long word, do you sometimes find it difficult to get all the sounds in the right order? | | |
| 12. Do you find it difficult to do sums in your head without using your fingers or paper? | | |
| 13. When using the telephone, do you tend to get the numbers mixed up when you dial? | | |
| 14. Do you find it difficult to say the months of the year forwards in a fluent manner? | | |
| 15. Do you find it difficult to say the months of the year backwards? | | |
| 16. Do you mix up dates and times and miss appointments? | | |
| 17. When writing cheques, do you frequently find yourself making mistakes? | | |
| 18. Do you find forms difficult and confusing? | | |
| 19. Do you mix up bus numbers like 95 and 59? | | |
| 20. Did you find it hard to learn your multiplication tables at school? | | |