Dyslexia Screener for Preschoolers
(The Adult Reading History Questionnaire (ARHQ) © 2019 International Dyslexia Association )
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Email *
Name of Person Completing this Form: *
Student's Name and Date of Birth *
School of Attendance *
Are you the Mother or Father? *
1.  Which of the following most nearly describes your attitude toward school when you were a child? *
Favorite Activity
2.  How much difficulty did you have learning to read in elementary school? *
None
A great deal
3.  How much extra help did you need when learning to read in elementary school? *
4.  Did you ever reverse the order of letters or numbers when you were a child? *
No
A great deal
5.  Did you have difficulty learning letter and/or color names when you were a child? *
No
A great deal
6.  How would you compare your reading skill to that of others in your elementary classes? *
Above Average
Below Average
7.  All students struggle from time to time in school.  Compared to others in your classes, how much did you struggle to complete your work? *
8.  Did you experience difficulty in high school or college English classes? *
No; enjoyed and did well
A great deal; did poorly
9.  What is your current attitude toward reading? *
Very Positive
Very Negative
10.  How would you compare your current reading speed to that of others of the same age and education? *
Above Average
Below Average
11.  How much reading do you do in conjunction with your work (if retired or not working, how much did you read when you were working?) *
A great deal
None
12.  How much difficulty did you have learning to spell in elementary school? *
None
A great deal
13.  How would you compare your current spelling to that of others of the same age and education? *
Above Average
Below Average
14.  Did your parents ever consider having you repeat any grades in school due to academic failure (not illness)? *
15.  Do you ever have difficulty remembering people's names or names of places *
No
A great deal
16.  Do you have difficulty remembering addresses, phone numbers, or dates? *
No
A great deal
17.  Do you have difficulty remembering complex verbal instructions? *
No
A great deal
18.  Do you currently reverse the order of letters or numbers when you read or write? *
No
A great deal
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