If you are between 16 and 18 years old and have not been assessed for dyslexia previously, please could you complete the Family Questionnaire instead of the Adult one, to help us to help you better.

This form takes approximately 20 minutes to complete and some of the questions are compulsory.  Please scroll down to answer questions. Press Submit once you have completed the questionnaire.

It is important that this questionnaire is completed as fully as possible; this will enable us to support you in the most effective way.  Please be aware that it may not always be possible for a formal diagnosis of a specific learning difficulty to be made as the result of an assessment.

If you find this form difficult you can phone us and we will help you fill it in. Please complete this form as fully as you can and press the Submit button at the end to return it to us. It will help us to help you. The answers are entirely CONFIDENTIAL to Develop Us and other Professionals directly concerned with you.

We are totally committed to protecting your information and using it responsibly.  Please read our policy carefully to understand how we collect, use and store your information.