Questions:           (Problematic responses)

Do you like to read?   (No)

Do you get headaches when reading?   (Yes)

Can you read easily for 15 minutes?   (No)

Can you read easily for 30 minutes?   (No)

Can you read easily for 1 hour?   (No)

Can you read easily for 2 hours?   (No)

Do you get tired and sleepy when you read?   (Yes)

Do you study in short spurts?   (Yes)

Do your eyes get tired while reading?   (Yes)

Do your eyes get itchy while reading?   (Yes)

Do your eyes ever burn while reading?   (Yes)

Do your eyes get watery during reading?   (Yes)

Do the words in reading ever get muddy or blurred?   (Yes)

Do the letters in words double up or wiggle at times?   (Yes)

Do you say the words to yourself during reading?   (Yes)

Do you have trouble understanding what you read?   (Yes)

Do your ever get car sick, or headaches riding in a car?   (Yes)

Do you get a stiff neck or backache after reading?   (Yes)

Do your eyes bother you while playing sports?   (Yes)

Do you feel your reading can be improved?   (Yes)