2. MATCH REVERSAL TEST AT RISK › flc › files › Vision and Learning Risk... · - Higher than Age-norms indicates a risk for vision and learning problems 3. CRANE VISION EFFICIENCY

VISION AND LEARNING RISK ASSESSMENT www.FoundationsForLearningCentre.com

Name: _________________________________________ Date:____________________

1. TEST OF VISUAL-MOTOR INTEGRATION SKILL - modified TVAS AT RISK ___ - GRADE: Preschool to Grade 3 - Test ability to analyze concrete information and then hand-copy using visual feedback - After two incorrect copies, total the number of correct copies and compare to Grade-norms - Lower than Grade norms indicates a risk for vision and learning problems

2. MATCH – REVERSAL TEST – screens for letter or number reversals AT RISK ___ - AGE: 5 to 8 years - Test visual spatial skills – cross-out exactly matched number or letter - Avoid number or letters that are reversed, flipped or reversed/flipped - Count the number of incorrect matches and compare to Age-norms - Higher than Age-norms indicates a risk for vision and learning problems

3. CRANE VISION EFFICIENCY TEST AT RISK ___ - AGE: 5 to 16 years (or older) - Test eye tracking, focusing, teaming and visual analysis skills - Connect as many “O”s as possible in 1 minute (60 secs.) without lifting the pencil - Count the number “O”s connected and compare to Age-norms - Lower than Age-norms indicates a risk for vision and learning problems

4. VERTICAL EYE MOVEMENT and RAPID AUTOMATIZED NAMING (RAN) TEST - AGE: 6 to 13 years AT RISK ___ - Tests vertical eye tracking and ability to quickly name numbers aloud - Predicts single-word reading skills and spelling (independent of phonological awareness) - Read the two vertical rows of number from top to bottom aloud - Time the number of seconds to complete and compare to Age-norms - Higher than Age-norms indicates a risk for vision and learning problems

5. HORIZONTAL EYE MOVEMENT TEST AT RISK ___

- AGE: 6 to 13 years - Tests horizontal eye tracking and probes quality of reading eye movements - Read aloud the horizontal rows of numbers like reading a paragraph of words - Time the number of seconds to complete and compare to Age-norms - Higher than Age-norms indicates a risk for vision and learning problems

6. FOUNDATIONS FOR LEARNING CENTRE QUESTIONNAIRE (FLCQ)

- AGE: 8 and up (or younger with parents help) AT RISK ___ - Asks patient to report on behavioral occurrence of vision and learning problems - Select the column that best represents the occurrence of each symptom - Total-score higher than 11 indicates a risk for vision and learning problems

Please note that these tests are assessing risks of vision and learning problems for the grades and ages listed. Further tests at our office are available for older children. The test results are NOT diagnostic; they only indicate risk to determine whether further testing should be considered.

Vision and Learning Risk Assessment www.FoundationsForLearningCentre.com 1. TEST OF VISUAL-MOTOR INTEGRATION SKILL GRADE: Preschool to Grade 3

- modified TVAS (Test of Visual Analysis Skill)

Instructions

1. Copy the image in the box immediately to the right

2. Erasures allowed

3. Complete as many as you can

4. After two (2) incorrect copies then stop

5. Count the number of correct copies and compare to Grade-norms

6. Lower than Grade-norms indicates risk for vision and learning problems

GRADE CORRECT COPIES

Preschool 1

Kindergarten 3

Grade 1 8

Grade 2 11

Grade 3 17

Correct Copies: _____ At risk for vision and learning problems _____

Vision and Learning Risk Assessment www.FoundationsForLearningCentre.com

2. MATCH—REVERSALS—screens for letter or number reversals

AGE: 5 to 8 years Instructions 1. Cross-out or circle the identical matched-shape to the right of line 2. Count the number incorrect and compare to Age-norms 3. Higher than Age-norms indicates risk for vision and learning problems.

Demonstration

At risk for vision and learning problems

Age Incorrect

(yrs.) Score

5 7 6 4 7 1 8 1

Your score:

Vision and Learning Risk Assessment www.FoundationsForLearningCentre.com

3. CRANE VISION EFFICIENCY TEST AGE: 5 to 16 years (or older)

Instructions

1. Review example below - line drawn through each circle (random order)

2. Practice on the second box below - connect the “O”s in any order without lifting pencil

3. Find Test Card (2nd page)

4. On Test Card, draw a line through the first “O” you see, and then without lifting the pencil up, continue drawing lines through the “O”s you see on the paper, for one minute.

5. The more “O”s connected over the minute of testing the better

6. Count the number of “O”s connected & compare to Age-norms

7. Lower than Age-norms indicates risk for vision and learning problems

Age (yrs.) 5 6 7 8 9 10 11 12 13 14 >15 yrs. Score 16 18 21 23 26 28 30 33 35 38 40 “O”s

Score: ________ At risk for vision and learning problems

a 7 3 7

O 3 O 9

2 6 b O c

d 7 k

j O 3 O

O 7 e 3 2 9

1 6 O

8 f 9 g O

O

O O O O O O O O

Example

Practice -connect the “O”s without lifting your pencil.

Vision and Learning Risk Assessment www.FoundationsForLearningCentre.com

4. VERTICAL EYE MOVEMENT and RAPID AUTOMATIZED NAMING (RAN) TEST

Instructions: AGE: 6 to 13 years 1. Read aloud practice numbers: 8 5 2 9 4 6 7 3 1 - if cannot read then try again later

2. Start at the number 9, at the top of the left column, and read aloud down 3. Then start at the number 1, at the top of the right column, and read aloud down 4. Measure the length of time, in seconds, to read out loud both columns of numbers 5. Correct as necessary and keep the clock running until the end 6. Read-times higher than Age-norms indicates risk for vision and learning problems

9 1

2 7

7 8

9 7

3 1

1 2

6 4

7 5

8 3

3 7

5 8

4 2

5 6

6 8

9 7

5 5

2 1

4 3

8 6

1 7

At risk for vision and learning problems

Age Time

(yrs.) (secs.)

6 44

7 34

8 30

9 27

10 25

11 23

12 21

13 21

Time:_____seconds

Vision and Learning Risk Assessment www.FoundationsForLearningCentre.com 5. HORIZONTAL EYE MOVEMENT TEST

Instructions AGE: 6 to 13 years 1. Read aloud practice numbers: 7 1 3 4 9 5 6 2 8 - if cannot read then try again later 2. Start at the top left corner, at the number 9 3. Read the numbers out loud from left to right 4. At the end of that row then move eyes back to the left and read aloud the next row below, and so on 5. Read them out loud like reading a paragraph of words. 6. Correct as necessary and keep the clock running until the end 7. Measure the length of time, in seconds, to read out loud all the numbers below. 8. Reading times higher than Age-norm indicates risk for vision and learning problems

9 7 3 7 6

8 3 9 3 9

2 5 6 6 5

7 8 7 4 2

3 7 5 3 8

4 7 3 2 9

5 1 6 4 1

8 9 3 8 5

Age (yrs.) 6 7 8 9 10 11 12 13 yrs. Time (secs.) 70 63 37 33 31 28 26 26 secs.

Time: ________ seconds At risk for vision and learning problems

Vision and Learning Risk Assessment www.FoundationForLearningCentre.com

6. Foundations for Learning Centre Questionnaire (FLCQ)

NAME: DATE:

AGE: 8 years and up (or younger with parents help)

STEPS:

1. Read the symptom question.

1. Select the column that best represents the occurrence of each symptom.

2. For every question put corresponding value in the total box to far right.

3. Vertically add for the Total column for Total-score.

4. Total-scores higher than 11 indicates risk for vision and learning problems.

QUESTIONSNEVER INFREQUENTLY

(NOT VERY

OFTEN)

SOMETIMES FAIRLY OFTEN ALWAYS

TOTAL

0 1 2 3 4

1Do you reverse words when reading or writing

(e.g., was for saw, on for no, or b for d)?

2 Do you switch letters or numbers (21 for 12)?

3 Do you have difficulty copying written material?

4Do you have sloppy or messy printing or

handwriting?

5 Do you avoid reading?

6Do you have difficulty finishing school

assignments in a timely manner?

7Do you misalign digits or columns when doing

math assignments?

8 Are you clumsy or knock things over?

9Do you overlook small details (reads beak for

break) or misread math symbols (“-“ for “+”)?

10Do you have a short attention span or easily

distracted when reading or studying?

TOTAL SCORE =

At risk for vision and learning problems