NeuroKnowHow

Neurodiverse People Who Know How

Adult Dyslexia Questionnaire

Questionnaire

Do you mix up dates and times and miss appointments?*
- Yes
- No
When writing down the date do you often make mistakes?*
- Yes
- No
Is your spelling poor?*
- Yes
- No
When using the telephone do you get the numbers mixed up when you dial?*
- Yes
- No
Do you find forms difficult and confusing?*
- Yes
- No
Do you find it difficult to take messages on the phone and pass them on correctly?*
- Yes
- No
Do you mix up bus numbers like 35 and 53?*
- Yes
- No
Do you find it difficult to say the months of the year forwards in a fluent manner?*
- Yes
- No
When you were at school did you find it hard to learn the multiplication or times tables?*
- Yes
- No
Do you take longer than you should to read a page of a book?*
- Yes
- No
Do you find difficulty in telling left from right?*
- Yes
- No
Did you find it difficult to decide how to answer these questions?*
- Yes
- No
Would you like to receive copy of result via email?*
- Yes
- No
By selecting "Yes", you will also be registering for the NeuroKnowHow news letter and be able to join in with discussions on the NeuroKnowHow blog.
Are you in the UK?*
- Yes
- No
Where in the world are you?*
Where are you in the UK?*
English county*
Scottish county*
Northern Irish county*
Welsh county*
Name*
First Last
Email*
Enter Email Confirm Email
Phone
Based on the results of this questionnaire, NeuroKnowHow may contact you about our Dyslexia support service

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