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?

 

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