Convergence Insufficiency Symptom Survey
Convergence insufficiencyConvergence insufficiency is the inability to maintain binocular function (keeping the two eyes working together) while working at a near distance. is a common vision problem, however it's not screened for in a routine eye test.
Take this quiz to find out if convergence insufficiency could be contributing to your reading difficulties:
1. Headaches during school or homework
Never:
A little:
Sometimes:
A lot:
Always:
2. Words move or get blurry when reading
Never:
A little:
Sometimes:
A lot:
Always:
3. Rubs eyes during close work
Never:
A little:
Sometimes:
A lot:
Always:
4. Fatigues quickly during reading and homework
Never:
A little:
Sometimes:
A lot:
Always:
5. Head tilt or closes an eye when reading
Never:
A little:
Sometimes:
A lot:
Always:
6. Loses place while reading
Never:
A little:
Sometimes:
A lot:
Always:
7. Avoids reading or writing activities
Never:
A little:
Sometimes:
A lot:
Always:
8. Leaves out small words when reading
Never:
A little:
Sometimes:
A lot:
Always:
9. Uses finger during reading
Never:
A little:
Sometimes:
A lot:
Always:
10. Burning, red or watery eyes after reading
Never:
A little:
Sometimes:
A lot:
Always:
11. Poor reading comprehension
Never:
A little:
Sometimes:
A lot:
Always:
12. Reading or writing distance too close
Never:
A little:
Sometimes:
A lot:
Always:
13. Complains that eyes hurt during reading or homework
Never:
A little:
Sometimes:
A lot:
Always:
14. Sloppy handwriting
Never:
A little:
Sometimes:
A lot:
Always:
15. Difficulty copying from the board
Never:
A little:
Sometimes:
A lot:
Always:
16. Leaves out problems on tests or worksheets
Never:
A little:
Sometimes:
A lot:
Always:
17. Homework takes too long
Never:
A little:
Sometimes:
A lot:
Always:
18. Doesn't finish classroom assignments on time
Never:
A little:
Sometimes:
A lot:
Always:
19. Knocks things over, poor depth perception
Never:
A little:
Sometimes:
A lot:
Always: