Self Test Your small investment can create a bright future for your child. Name* First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Email* Enter Email Confirm Email Phone*Please fill out this form to see if your student needs tutoring: To ensure the accuracy of this assessment, please answer all questions.1. Has to reread material several times and often remembers only a few details rather than the "whole."YesNo2. Adds, omits, and switches sounds while reading and spelling.YesNo3. Sees the first letter of a word, says another word with similar letter.YesNo4. Avoids reading, especially aloud.YesNo5. Memorizes words; can't effectively read a non-memorized word.YesNo6. Doesn't know the rules of written language or how to apply them.YesNo7. Tries to attack a word as a whole instead of its individual parts.YesNo8. Has trouble paying attention when reading.YesNo9. Rubs eyes, has headaches when reading.YesNo10. Is at least one year below grade level in reading.YesNo11. Feels like he/she is a failure at reading.YesNo