Checklist for Learning Disability

CHECKLIST FOR THE IDENTIFICATION OF A LEARNING DISABLED CHILD

NAME: ______________________________________ AGE: ___ SEX: _____________

GRADE: ____________ SCHOOL: ______________________________________________

DIRECTIONS: Put a check mark (a) on the space corresponding to the behavior or condition manifested by the child.

___1. Looks typical but doesn’t learn typically

___2. Is intelligent, often gifted

___3. Have reading, spelling and/or Math achievement that are significantly below child’s capability level

___4. Has a short attention span

___5. Is easily distracted

___6. Have poor listening skills

___7. Has trouble following directions

___8. Doesn’t seem to be trying, ats lazy or defiant

___9. Sometimes uses immature speech and language

___10. Confuses left and right

___11. Sometimes uses immature movements, is awkward, clumsy. Shows poor motor coordination (i.e., reaches one hand and the other hand follows)

___12. Exhibits immature behavior

___13. Displays general disorganization, poor organization of time and space

___14. Often has difficulty with task employing paper and pencil

___15. Produces many reversal (i.e., “b” instead of “d”) and rotations (i.e., “b” instead of “q”) in written work

___16. Is consistent in behavior and work

___17. Frequently displays exceptionally ability in the arts, sports science and verbalization

INTERPRETATION: A pupil who manifests these behaviors may have a learning disability. So he/she should be further tested or referred to a psychologist or psychometrician.

LEARNING SCALE ON LEARNING DISABILITIES

NAME: ______________________________________ AGE: ___ SEX: _____________

GRADE: ____________ SCHOOL: ______________________________________________

|INDICATORS AND DESCRIPTORS |VERY OFTEN |OFTEN |SOMETIMES |RARELY |NEVER |
|I. ACADEMIC