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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?
*
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo, Democratic Republic of the
Congo, Republic of the
Costa Rica
Côte d'Ivoire
Croatia
Cuba
Cyprus
Czech Republic
Denmark
Djibouti
Dominica
Dominican Republic
East Timor
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Fiji
Finland
France
French Polynesia
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Greenland
Grenada
Guam
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Norway
Northern Mariana Islands
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Puerto Rico
Qatar
Romania
Russia
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia and Montenegro
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
Spain
Sri Lanka
Sudan
Sudan, South
Suriname
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Togo
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Virgin Islands, British
Virgin Islands, U.S.
Yemen
Zambia
Zimbabwe
Where are you in the UK?
*
Please select
England
Scotland
Northern Ireland
Wales
English county
*
Please select
Avon
Bedfordshire
Berkshire
Buckinghamshire
Cambridgeshire
Cheshire
Cleveland
Cornwall
Cumbria
Derbyshire
Devon
Dorset
Durham
East Sussex
Essex
Gloucestershire
Hampshire
Herefordshire
Hertfordshire
Isle of Wight
Kent
Lancashire
Leicestershire
Lincolnshire
London
Merseyside
Middlesex
Norfolk
Northamptonshire
Northumberland
North Humberside
North Yorkshire
Nottinghamshire
Oxfordshire
Rutland
Shropshire
Somerset
South Humberside
South Yorkshire
Staffordshire
Suffolk
Surrey
Tyne and Wear
Warwickshire
West Midlands
West Sussex
West Yorkshire
Wiltshire
Worcestershire
Scottish county
*
Please select
Aberdeenshire
Angus
Argyll
Ayrshire
Banffshire
Berwickshire
Bute
Caithness
Clackmannanshire
Dumfriesshire
Dunbartonshire
East Lothian
Fife
Inverness-shire
Kincardineshire
Kinross-shire
Kirkcudbrightshire
Lanarkshire
Midlothian
Moray
Nairnshire
Orkney
Peeblesshire
Perthshire
Renfrewshire
Ross-shire
Roxburghshire
Selkirkshire
Shetland
Stirlingshire
Sutherland
West Lothian
Wigtownshire
Northern Irish county
*
Please select
Antrim
Armagh
Down
Fermanagh
Londonderry
Tyrone
Welsh county
*
Please select
Clwyd
Dyfed
Gwent
Gwynedd
Mid Glamorgan
Powys
South Glamorgan
West Glamorgan
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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