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The following are questions that you can use to see if someone may be at risk of learning disabilities. The questions should be used with individuals who show competencies in many areas, but demonstrate difficulties that cannot be explained by lack of education, low intelligence or mental health/addiction problems.

When you fill out the following form, the data typed into it cannot be saved. Please print the completed form if you would like a copy for your records.

Read the following statements and determine whether they describe you at home, at school, at work or in the community. Please indicate the answer that is most appropriate.

I remember faces, but have trouble remembering people's names.
Never
Sometimes Often
I learn best when someone shows me what to do.
Never
Sometimes Often
If a job is broken up into small chunks, I perform better.
Never
Sometimes Often
I have difficulty remembering the order that must be followed when I am given instructions.
Never
Sometimes Often
I respond well to written instructions, but have trouble understanding what people are saying to me, especially when they speak quickly.
Never
Sometimes Often
I have trouble thinking of the right word to say or write, even when I know the word.
Never
Sometimes Often
I write well, but get confused when I'm trying to explain things to people.
Never
Sometimes Often
I lose my place easily when I am reading.
Never
Sometimes Often
I have trouble sounding out new words.
Never
Sometimes Often
I can sound out words, but I don't remember what words look like.
Never
Sometimes Often
I remember things I hear, but misspell small words as often as big words.
Never
Sometimes Often
I can spell the same word several ways in the same story.
Never
Sometimes Often
I understand a story better if someone reads it to me.
Never
Sometimes Often
I usually remember verbal instructions, but have to read things several times before I understand them.
Never
Sometimes Often
I lose my place when copying from the blackboard or an overhead.
Never
Sometimes Often
I organize my spoken conversation well, but my handwriting is difficult for other people to read.
Never
Sometimes Often
I express myself better when speaking than when writing.
Never
Sometimes Often
I have trouble getting my ideas on paper.
Never
Sometimes Often
I have lots of good ideas in meetings, but other people don't understand what I'm trying to say in my writing.
Never
Sometimes Often
I sometimes reverse letters or numbers, or get them in the wrong order.
Never
Sometimes Often
I have excellent reading abilities, but trouble remembering multiplication tables.
Never
Sometimes Often
I write well, but have trouble figuring out what they're asking in math word problems.
Never
Sometimes Often
I make mistakes when working through math problems that have several steps.
Never
Sometimes Often
I can't figure out what formulas to use in math questions.
Never
Sometimes Often
I know what to do in math questions, but I get the calculations wrong if I don't use a calculator.
Never
Sometimes Often
It takes me a while to find my way around a new place.
Never
Sometimes Often
I have trouble judging distances.
Never
Sometimes Often
I confuse left and right.
Never
Sometimes Often
I have trouble judging how much time tasks are going to take to complete.
Never
Sometimes Often
I am often late getting places.
Never
Sometimes Often
I have trouble finding things on a cluttered desk.
Never
Sometimes Often
Jigsaw puzzles are something I've always avoided.
Never
Sometimes Often
I get confused when I'm trying to do too many things at once.
Never
Sometimes Often
I have trouble finding the right place to fill in information on forms.
Never
Sometimes Often
I get along with people at work, but I sit by myself at lunch.
Never
Sometimes Often
I love social gatherings, but tend to interrupt discussions.
Never
Sometimes Often
Driving is something I have always avoided.
Never
Sometimes Often

Now that you have completed the checklist, count up how many checks for each response and record the number in the box below.


Everyone has problems with these areas from time to time. The time for concern is if you answered 'often' to many of the questions in this checklist, and if these challenges have a negative impact on your everyday life. If that's the case, then an evaluation should be scheduled.

À Propos

Association canadienne des troubles d'apprentissage - (ACTA) est une organisation nationale et sans but lucratif de bénévoles fondée en 1963 et constituée en société en 1971. La mission de l'organisation est d'être le porte-parole national des personnes ayant des troubles d'apprentissage et celles et ceux qui les appuient. TAAC est l'expression nationale des personnes ayant des troubles d'apprentissage et de ceux qui les appuient.

ACTA se consacre à assurer l'égalité des chances aux personnes qui ont des troubles d'apprentissage afin de leur permettre de fonctionner comme citoyens ayant des possibilités équitables et qui peuvent atteindre leur potential voulu. TAAC accomplit ces objectifs par la sensibilisation du public à la nature et à l'impact des troubles d'apprentissage, par la défense des droits des personnes ayant des troubles d'apprentissage, par la recherche, la santé et l'éducation et par des efforts fondés sur la collaboration.

 

 

 

 

 

 

 

 

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