Skip to content
ABOUT
SERVICES
LATEST
CONTACT
ABOUT
SERVICES
LATEST
CONTACT
0
Irlen Self-Test
First Name
Last Name
Email
Phone Number
Street Address
City, State
Are you bothered by light?
Yes
No
Are you bothered by glare?
Yes
No
Do you frequently wear sunglasses?
Yes
No
Are you bothered by bright or fluorescent lights?
Yes
No
Tired or drowsy under bright or fluorescent lights?
Yes
No
Become anxious under bright or fluorescent lights?
Yes
No
Get a headache / stomachache from bright or fluorescent lights?
Yes
No
Feel antsy or fidgety under bright or fluorescent lights?
Yes
No
Harder to listen under bright or fluorescent lights?
Yes
No
Performance deteriorates under bright or fluorescent lights?
Yes
No
Feel like there is not enough light when reading?
Yes
No
Feel like there is too much light when reading?
Yes
No
Read in dim light?
Yes
No
Shade the page with your hand or body?
Yes
No
Skip words or lines?
Yes
No
Repeat or reread lines?
Yes
No
Read with breaks or lose place?
Yes
No
Poor reading comprehension?
Yes
No
Reading becomes harder the longer you read?
Yes
No
Use your finger or marker to help keep your place?
Yes
No
Avoid reading?
Yes
No
Rereads for comprehension?
Yes
No
Reversals of letters and/or numbers?
Yes
No
While reading do you rub your eyes?
Yes
No
While reading do you move closer to or further away?
Yes
No
While reading do you squint or open your eyes wide?
Yes
No
While reading do you incorporate breaks?
Yes
No
While reading do you change position to reduce glare?
Yes
No
While reading do you close or cover one eye?
Yes
No
While reading do you read word by word?
Yes
No
While reading are you unable to speed read?
Yes
No
Do you feel strain, fatigue, or have headaches when reading?
Yes
No
Do you feel strain, fatigue, or have headaches when listening?
Yes
No
Do you feel strain, fatigue, or have headaches when doing paper & pencil tasks?
Yes
No
Do you feel strain, fatigue, or have headaches working on a computer?
Yes
No
Do you feel strain, fatigue, or have headaches watching TV, movies, or live stage productions?
Yes
No
Do you feel strain, fatigue, or have headaches copying material or doing math?
Yes
No
Do you feel strain, fatigue, or have headaches playing video games?
Yes
No
Do you feel strain, fatigue, or have headaches writing long assignments?
Yes
No
Do you feel strain, fatigue, or have headaches doing visually-intensive activities like needlepoint, sewing, cross stitching, crossword puzzles, woodworking, soldering, etc?
Yes
No
Do you feel strain, fatigue, or have headaches working under bright or fluorescent lights?
Yes
No
Do you feel strain, fatigue, or have headaches looking at stripes, patterns, bright colors, and high contrast?
Yes
No
Do you write up or down hill?
Yes
No
Do you write unequal or no spacing between letters or words?
Yes
No
Do you write unequal letter size?
Yes
No
Unable to write on the line?
Yes
No
Leave out words, letters, or punctuation marks?
Yes
No
Problems concentrating with reading or writing?
Yes
No
Easily distracted when reading or writing?
Yes
No
Easily distracted when listening?
Yes
No
Easily distracted when taking tests?
Yes
No
Daydreams in class or at lectures?
Yes
No
Problems starting or staying on task?
Yes
No
Difficulty with scantron answer sheets?
Yes
No
Lose place copying? (book, chalkboard, whiteboard, overhead)
Yes
No
Leave out words? (book, chalkboard, whiteboard, overhead)
Yes
No
Slow or incomplete? (book, chalkboard, whiteboard, overhead)
Yes
No
Careless errors? (book, chalkboard, whiteboard, overhead)
Yes
No
Difficulty refocusing, blinking, or squinting? (book, chalkboard, whiteboard, overhead)
Yes
No
Difficulty copying things onto or off computer or typewriter?
Yes
No
Disorganized writing essays?
Yes
No
Problems with punctuation?
Yes
No
Leave out letters or words?
Yes
No
Write without rereading?
Yes
No
Misalign digits in number columns?
Yes
No
Difficulty seeing numbers in the correct column?
Yes
No
Use finger, graph paper, or other marker when working with columns of numbers?
Yes
No
Difficulty seeing signs, symbols, numbers, decimal points?
Yes
No
Reversals of numbers?
Yes
No
Problems sight reading music notes?
Yes
No
Prefer to memorize rather than read music?
Yes
No
Prefer to play by ear?
Yes
No
Use finger to track notes or lose your place?
Yes
No
Trouble reading the notes or notes and words together?
Yes
No
Difficulty interpreting the music notations?
Yes
No
Little progress in spite of regular practice?
Yes
No
Difficulty getting on and off escalators?
Yes
No
Clumsy?
Yes
No
Bump into table edges or door jams?
Yes
No
Difficulty walking up and/or down stairs?
Yes
No
Difficulty judging distances?
Yes
No
Drop or knock things over?
Yes
No
As a child, accident prone or have bruises on your shins?
Yes
No
When walking next to someone, do you drift into the person?
Yes
No
When walking, do you feel dizzy or light headed?
Yes
No
Afraid of heights?
Yes
No
Problems tracking a flying ball like golf, baseball, or tennis?
Yes
No
Trouble following the ball when watching sports on TV such as tennis, football or basketball?
Yes
No
When watching sports on TV, can you follow the ball but not see anything else?
Yes
No
Trouble catching or hitting a ball?
Yes
No
Difficulty playing pool?
Yes
No
Difficulty hitting the ball when playing baseball or tennis?
Yes
No
Trouble learning how to ride a bike?
Yes
No
Trouble jumping rope? Jump in at the wrong time or jump into the rope?
Yes
No
Trouble playing games such as volley ball or four square?
Yes
No
On playground equipment such as rings or bars, was it hard to go from one to the other?
Yes
No
Difficulty parallel parking?
Yes
No
Do you feel like you will hit the car in front when parking?
Yes
No
When parking, do you hit the curb or leave too much space?
Yes
No
Difficulty judging when to turn in front of oncoming traffic?
Yes
No
Uncertain when making lane changes?
Yes
No
Extra cautious when making lane changes?
Yes
No
Are the passengers tense when you make lane changes?
Yes
No
Do passengers tell you that you tailgate?
Yes
No
Are you overly cautious, leaving extra room between you and the car ahead?
Yes
No
As a passenger, do you become drowsy?
Yes
No
When driving, do you become drowsy?
Yes
No
Bothered by glare on the chrome on cars?
Yes
No
Bothered by glare off the rear window of the car in front of you?
Yes
No
Stressful to drive in the rain/snow (glare)?
Yes
No
Avoid driving at night?
Yes
No
Bothered by headlights and street lights at night?
Yes
No
Bothered by tail lights on cars?
Yes
No
Bothered by red/green traffic lights?
Yes
No
Have night blindness?
Yes
No
Submit
Thank you!
Search
Trending Now
