Free Specific Learning Disability Screening "*" indicates required fields Please answer the following questions regarding your child’s behavior. For most of the questions, think about whether your child has exhibited the behavior for at least the last 6 months. This is meant to be used as an informative tool; It is not a diagnostic tool and does not replace a comprehensive evaluation conducted by a pediatrician or psychologist. If you have concerns about your child’s development, you are encouraged to talk to your pediatrician or a psychologist.Is your child having trouble in school?* Yes No Is your child having trouble in multiple subjects at school?* Yes No Has your child been receiving academic intervention?* Yes No Does your child have difficulty identifying rhyming patterns?* Yes No Does your child have difficulty understanding what he or she reads?* Yes No Does your child have difficulty holding a pencil and forming letters or shapes?* Yes No Does your child confuse mathematical symbols?* Yes No Does your child avoid games or activities that involve numbers and counting?* Yes No Does your child have difficulty blending sounds together to form words?* Yes No Does your child have difficulty using grammatically correct sentences when writing but not speaking?* Yes No Does your child have difficulty understanding patterns, like smallest to largest or tallest to shortest?* Yes No Does your child often avoid tasks that require writing?* Yes No Does your child confuse different letters?* Yes No Does your child have trouble with basic math equations and mental math?* Yes No Does your child have difficulty organizing or articulating his or her thoughts on paper?* Yes No Is there a family history of reading, writing, or math difficulties?* Yes No Does your child have difficulty remembering the names of and sounds of different letters of the alphabet?* Yes No This is meant to be used as an informative tool; It is not a diagnostic tool and does not replace a comprehensive evaluation conducted by a pediatrician or psychologist. If you have concerns about your child’s development, you are encouraged to talk to your pediatrician or a psychologist. Generating Results Please submit the information below to receive your results instantly!Child's Age* Parent's Name* First Last Email* PhoneAddress Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Consent* By checking this box, I acknowledge that this is to be used as an informative and educational tool only and does not replace a comprehensive evaluation.** Δ