Please complete the following form:

Your name

Your email address

Please tick all the items you feel cause you difficulty. If you have ticked the majority of these questions you may be dyslexic. If you would like to find out more about dyslexia contact Stephen McCue at Dyslexia Pathways.

Writing a cheque

Filling in forms

Writing letters

Reading Letters

Reading official documents

Reading a newspaper

Dialling telephone numbers

Reading television schedules

Reading bus or train timetables

Making shopping lists

Dealing with money in shops

Checking bank statements

Confuse or mix up numbers

Keeping track of outstanding bills

Explaining things clearly to others

Placing orders over the telephone

Making enquiries over the phone

Following oral instructions

Following left-right instructions

Reading maps

Reading signs or signposts

Remembering where things have been put

Finding your way about in a strange place

Looking up phone numbers in a directory

Recording phone numbers correctly

Remembering verbal messages

Organising daily life

Concentrating for longer than an hour

Working continuously for more than an hour

Send form to Dyslexia Pathways