Dyslexia and Learning Disability Quiz

Do you suspect that you or someone you know has dyslexia, or a learning and attention challenge?

Take this free quiz to find out in less than 10-minutes.

If dyslexia or a learning and attention challenge is detected, you'll receive recommendations on the best next steps to resolve these challenges.

Dyslexia and Learning Disability Quiz

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Step 1 of 19

Welcome, and thank you for your interest in our quiz.

Are you taking this quiz for yourself, your child/teen, or your student?*

Myself

Child/teen

Student

What is his/her:

What is your:

Name - Student*

First

What is his/her:

What is your:

Age?*

Is there a family history of dyslexia, or challenges with learning or attention?*

Yes

Not sure

Does he/she:

Do you:

Have average or above average intelligence?*

Yes

How would you describe his/her:

How would you describe your:

Verbal language abilities*

Average / Above Average: Age-appropriate or above

Impacted: Articulation and/or grammatical difficulties

Limited: non-verbal or very limited verbal language

Was he/she:

Were you:

Born prematurely or via C-section?*

Yes

I don't know

Did he/she:

Did you:

Have early speech or language problems?*

Yes

I don't know

Does he/she:

Do you:

Excel at arts, building, sports, or creative problem-solving?*

Yes

I don't know

Did he/she:

Did you:

Have numerous ear infections growing up?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Lack confidence at school or work, appear lazy or unmotivated?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Work too hard or too long on homework?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Have difficulty with reading, writing, spelling, or math?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Have trouble following directions or knowing what to do?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Get easily distracted?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Have poor memory?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Frequently say "Huh?" or "What?" and needs things repeated?*

Frequently

Occasionally

Rarely

Did he/she:

Did you:

Have difficulty naming letters in the alphabet?*

Frequently

Occasionally

Rarely

Does he/she:

Do you:

Speak more intelligently than he/she can write?*

Frequently

Occasionally

Rarely

Speak more intelligently than you can write?*

Frequently

Occasionally

Rarely

Hidden

Date*

MM slash DD slash YYYY

Your Contact Information

Name*

First Last

Email*

Phone*

How did you hear about Stowell Learning Centers?*

Online Search

Professional Referral

Parent Referral

Event

Social Media

Teacher

Sign

Other

Who referred you?*

Which Stowell Learning Center location is closest to you?*

Chino

Thousand Oaks

Irvine

Pasadena

National

Would you like to speak to our team about further assessment or intervention?*

Yes, please contact me

No, thank you

What is the best time to contact you?*

All times are in Pacific time zone.

9:00AM-12:00PM PT

12:00PM-3:00PM PT

3:00PM-6:00PM PT

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