Learning Disabilities: At-Risk Summary Checklist


graphic of dialog bubble: Responses for George are bold

  1. Expect to see NO to these questions:
    1  
    VISION problems may have interfered with learning (glasses correct any vision problem).
    graphic of checkbox yes   graphic of checkbox no

    2  
    HEARING problems may have interfered with learning.
    graphic of checkbox yes   graphic of checkbox no

    3  
    HEALTH problems or PHYSICAL DISABILITIES may have interfered with learning.
    graphic of checkbox yes   graphic of checkbox no

    4  
    Irregular attendance may have interfered with learning.
    graphic of checkbox yes   graphic of checkbox no

    5  
    Lack of motivation, personal concerns and poor application to studies may have interfered with learning.
    graphic of checkbox yes   graphic of checkbox no

  2. 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.
    graphic of checkbox yes   graphic of checkbox no

    7  
    There is variability in abilities with many strengths and some or many problem areas.
    graphic of checkbox yes   graphic of checkbox no

    8  
    There is difficulty in learning (listening / speaking / reading / writing / math / organization / problem-solving / memory/ concentration / basic life skills).
    graphic of checkbox yes   graphic of checkbox no

    9  
    There is a history of difficulties in learning from a young age.
    graphic of checkbox yes   graphic of checkbox no

    10 
    There is a previous diagnosis of learning disabilities.
    graphic of checkbox yes  graphic of checkbox no

    11 
    There is a history of special help in school.
    Extra help in Grade 1
    graphic of checkbox yes   graphic of checkbox no

    12 
    There is a discrepancy between the highest grade completed and the number of years to complete studies, despite regular attendance at school.
    graphic of checkbox yes   graphic of checkbox no

    13 
    There is a family history of specific learning disabilities.
    (but sister received help with math and English in Grade 6 & 8)
    graphic of checkbox yes   graphic of checkbox 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.
    graphic of checkbox yes   graphic of checkbox no

    15 
    Speech and language difficulties
    (has difficulty expressing his verbal thoughts and summarizing information)
    graphic of checkbox yes   graphic of checkbox no