Alabama Scottish Rite
Foundation
Learning Centers

DYSLEXIA
CHECKLIST FOR TEACHERS
Middle and High School
Name of student:____________________________________________ Date:_________________
School: ___________________________________________ Grade:________ Birthdate:_________
Checklist completed by:_____________________________________ Position:_________________
YES
NO
PERCEIVED ACADEMIC POTENTIAL
___ ___ 1. Does the student seem to have the intellectual ability or academic potential to develop reading, writing, and spelling skills?
___ ___ 2. Are the student’s reading, spelling, or writing skills below what you would expect in view of perceived intellectual ability or academic potential?
READING SKILLS
___ ___ 3. Does the student have difficulty identifying basic sight words?
___ ___ 4. Does the student have difficulty sounding out words using phonics skills?
___ ___ 5. Does the student comprehend text read aloud by others?
___ ___ 6. Does the student read slowly with many inaccuracies?
SPELLING SKILLS
___ ___ 7. Does the student have difficulty with spelling?
___ ___ 8. Does the student often spell the same word differently in a single writing task?
___ ___ 9. Does the student frequently make spelling errors that involve changing the order of the letters within the word (i.e. left/felt or spelt/slept)?
WRITING SKILLS
___ ___ 10. Is handwriting often illegible or messy?
___ ___ 11. Is pencil grip awkward, tight, or fist-like?
___ ___ 12. Does the student procrastinate or avoid writing?
___ ___ 13. Does the student have difficulty summarizing or outlining?
OTHER SKILLS
___ ___ 14. Does the student have problems with organization or memory?
___ ___ 15. Does the student have problems with spatial orientation (i.e., before/after, left/right)?
___ ___ 16. Does the student have difficulty “finding the right word” or seem to hesitate when trying to answer direct questions?