)
Screening Adults
At Risk for
Learning Disabilities
The Delta Screener: Practitioner Guidelines
Developed
under leadership of:
Pam Morel,
Cambrian College
Marian
Mainland, Conestoga College
Revised March, 2004
The Delta Screener was development by the LD Special
Interest Group of the College Committee on Special Needs (CCDI), a Provincial
Group under the Ministry of Training: Colleges and Universities. It was developed for use by qualified practitioners working with
adults with learning problems.
Foreword 1
Screening Adult
Students At Risk For Learning Disabilities 2
Administration
Guidelines 3
Suggested Procedures 3
Guidelines for Completing
the Delta Screener 3
Post Secondary Academic Status 3
Previous Academic History 4
Language and Developmental History 5
Family History 6
Health and Medical History 7
Employment 8
Checklists 8
Guidelines for Interpreting
the Delta Screener and At-Risk Summary Checklist 9
Delta Screener 10
Post Secondary Academic Status 10
Previous Academic History 12
Language and Developmental History 16
Family History 17
Health And Medical History 18
Employment 20
Checklists 22
Challenges 22
Strengths 23
Daily Activities 23
Learning
Disabilities: At-Risk Summary Checklist 25
This document was developed by the Learning Disability Special Interest Group of the College Committee on Disability Issues (CCDI) as a screening tool for adults at risk for learning disabilities. It was developed for use by a variety of post-secondary practitioners, including counsellors, disability advisors, learning disability specialists, as well as professionals working with adults experiencing learning problems.
Items in the screening questionnaire are based on the expertise of many professionals working in the post-secondary system. Some information was adapted from screening questionnaires developed by: Destination Literacy, Learning Disability Association of Canada; Carol Herriot at the University of Guelph; and the University of Minnesota.
Special
thanks to all those individuals who participated in the development and
piloting of this screening tool.
T |
his manual includes Administration Guidelines, the Delta
Screener, as well as an At-Risk
Summary Checklist.
The Administration
Guidelines provide a framework to guide the interviewer through the process of
gathering information relating to factors that could contribute to learning
difficulties. There are many reasons why an adult student struggles
academically; many of which are not related to specific learning disabilities.
The purpose of the Delta Screener is to identify adults who may have learning
disabilities and to investigate their need for support strategies and
accommodations. The Delta Screener is
designed to be comprehensive so that it can be used as an intake and/or
referral questionnaire. The At-Risk
Summary Checklist assists the interviewer in summarizing identified at-risk
factors.
The format of the Delta Screener is a series of questions
you ask the adult student. These questions cover the following areas: post
secondary academic status, previous academic history, language and
developmental history, family history, health and medical history and
employment. These areas are considered important in determining the possibility of learning disabilities.
The information gathered by the Delta
Screener will assist the interviewer in making decisions about appropriate
referrals and support strategies. If there is evidence that suggests a possible
learning disability, the adult will need to be referred for a diagnostic
assessment. A definitive diagnosis would
require a more extensive assessment by a qualified practitioner.
It should take you
approximately 1.5 hours to administer the Delta
Screener and At-Risk Summary Checklist.
·
Explain to the student/client the purpose of the Delta
Screener;
· Tell the student that their answers will help you to understand his needs;
· Make sure that the student knows the results are confidential and that the privacy of the information will be respected;
· Encourage the student to feel free to add comments or explanations to any of his/her answers;
· Explain to the student that you will have to take notes during the interview;
· Make sure the student understands the questions;
· Provide ample time for responses;
· When the student answers "yes", ask for the specific information;
· Use “tell me more” statements as needed.
We suggest that the Delta Screener be used as part of an interview process rather than the student working on their own as the interview format provides an opportunity for a more complete investigation of areas of concern.
The purpose of this
area is to discuss the adult student’s current learning problems. Often the student's explanation of their
difficulties can give some indication of a possible source of their learning
problems. You may be able to identify
some learning strengths and weaknesses from the pattern of grades earned within
the student’s academic record.
Adult students who
have no history of school difficulty previous to post-secondary settings may be
experiencing some transition problems that are not the result of a learning
disability. The unexpected occurrence
of difficulties at the post-secondary secondary level may be a result of such
factors as: motivation, maturity, changing expectations, difficulty managing
workload, inappropriate program choice, etc.
Alternatively,
student’s who previously experienced academic success may have been provided
with extensive home support, which is no longer available.
The goal here is to
develop a clear picture from the adult's point of view as to his school
experience: likes and dislikes about school, plus strengths and weaknesses in
subjects. Are the strengths or weaknesses in language-based subjects or in the
practical subjects such as auto mechanics, woodworking, or welding?
Encourage the student to
give details in his answers, especially to those answers that indicate some
problem or difficulty. If discussing high school, try to determine if he was in
an academic program, leading to college or university, one leading to further technical training,
or to the workforce. Often the program gives some indication of the student's
abilities, at least as seen by the school system.
It is helpful to
know if the student was previously diagnosed with some type of learning
disability and if the school system made any accommodations for it. It is also helpful to know if the adult has
developed any strategies to deal with difficulties in his learning. Does the
adult feel that the problems have kept him from doing well in school, or in the
workplace?
When considering
difficulties the student had in school, you must differentiate between those
caused by low intellectual ability and those caused by a learning
disability. Generally, an adult with
low ability will report a wide variety of problems in terms of schooling. On
the other hand, an adult with learning disabilities will usually report strengths and
areas of need in his learning and levels of achievement. You will see the
evidence of this in uneven student performance and school marks.
· If the student received special assistance in school, especially in reading, writing, spelling and/or math, this may indicate a learning disability or low intellectual abilities.
· If the student’s academic history shows grade and/or course failure(s), this may indicate either a learning disability or low intellectual ability.
· If the student reports that at one time he worked hard but was not achieving, this may indicate either low ability or a learning disability. The same is true if the student left school because of frustration and low achievement.
· The student's likes and dislikes of certain subjects may be an indication of a learning disability. For example, is the student’s success in language-based subjects, such as history, geography and English? Does the student avoid or have low marks in these subjects because of the reading/writing emphasis but is successful in mechanical and/or activity-based subjects such as shops, physical education and art?
· The student may have been previously diagnosed as having a learning disability. It may have been termed dyslexia, a perceptual handicap, minimal brain dysfunction, language disabilities or attention-deficit disorder but is likely an indication of some kind of learning disability.
· Sometimes, adults with learning disabilities have been wrongly designated as "slow learners" and "delayed learners". If this is the case with your student, you should ignore the label and continue to check for evidence of a learning disability.
· Conversely, some adults may have been designated as having a learning disability when in fact, the actual problem may have more generalized low intellectual functioning.
· If the adult has poor basic skills and has attended a number of different schools, or has had gaps in education due to illness or other reasons, this may indicate inadequate learning opportunities, not a learning disability.
· If the adult reports lack of interest and effort during his schooling, resulting in poor achievement, this probably does not indicate a learning disability.
· If the adult indicates significant abuse of drugs or alcohol during his schooling, this probably interfered with their availability for learning and may indicate an alternative reason for school difficulties.
When considering
difficulty in language skills, you must differentiate between English-as-a
Second-Language (ESL) problems and learning disabilities. When English is not
the adult's first language, he/she may experience difficulties in speaking,
reading and writing English. This is not
a learning disability but rather an ESL issue. These difficulties, in fact,
may persist for some time as the student develops skills in the English
language.
ESL Issues:
· If the student can speak his own first language but cannot read or write well in it, even after years of adequate instruction, this may be an indication of a learning disability.
· If the adult has learned a first language plus English, and has difficulty in similar aspects of both languages, this may be a stronger indication of a learning disability.
Developmental Issues:
· For adults whose first language is English, any history of difficulty in developing early language skills is an indicator of a possible learning disability.
· A history of prematurity, low birth weight, or respiratory distress could be a high risk factor for the development of learning disabilities.
Learning
disabilities appear to have a strong genetic component. Students who report a family history of
learning disabilities or Attention Deficit Hyperactivity Disorder (ADHD) are
more likely to have learning disabilities themselves.
Mature
adult students with learning disabilities often report that their children have
been identified by the school system as requiring additional support services.
Some adults may not
associate learning problems with physical conditions or side effects related to
taking medication. These questions will alert you to health conditions or
problems that may affect the student's learning.
Health problems and physical
disabilities are not
necessarily signs of a learning disability. More likely, they are the reasons
why the student had difficulty in learning. The same is true for medication
that has affected learning. Vision and
hearing problems, especially in early childhood, will also make learning
difficult but do not necessarily indicate a learning disability.
· If the student reports that letters and words appear out of sequence or reversed, these could be signs of a learning disability and should be investigated further.
· If the student appears to be able to hear but has difficulty discriminating similar sounding words or saying words correctly (this does not apply to an English-as-a-Second-Language student), these problems should also be investigated further as signs of a learning disability. These problems often occur more frequently when there is a history of ear infections.
· If the student's hearing appears normal, but the student frequently misunderstands questions, there may be a learning disability—a language processing problem.
·
If the student frequently asks to have questions
repeated, there could be learning disabilities related to attention and/or
auditory processing.
· If the student frequently has problems in situations requiring listening skills, the possibility of a hearing problem should be ruled out by a hearing test with an audiologist.
· If the student is taking any medication regularly, you should investigate the possible side effects of the medication and how it may impact on learning (fatigue, memory, attention…)
· Students with ongoing problems with anxiety or depression may have difficulty coping with academic learning situations, especially the testing process.
· If the student experiences eye strain when reading or copying notes from a distance, the possibility of vision difficulties should be further explored.
An adult's work
history may indicate his interests, skill level, abilities, motivation,
consistency of effort, planning and goal setting.
As you ask these
questions, look for a pattern in types of jobs the student has had, the demands
of each job and the length of time spent at each job. For example, did the jobs
require skill in reading/writing/ communication, or did they involve manual
skills? Were the jobs repetitive or were they broad in their scope? Possible
explanations for breaks in a adult's work history are: accidents, illness,
retraining, moving, loss of job, lack of needed skills, lack of motivation,
etc.
It is difficult to
determine the existence of a learning disability based on an adult's employment
history.
The employment
record may give you a clustering of the types of work that the adult has done
and from that you may see if there is an avoidance of jobs that require good
reading and writing skills, or if there is a preference for jobs that are
manual or mechanical in nature.
The adult may
perform well in a job that requires high skills, even though he has poor
academic achievement. This may mean that the adult has good general abilities
and has learned to compensate for learning disabilities.
If the adult student appears to have average ability, with no vision or hearing problems, then having trouble with more than one of these items may indicate a learning disability.
Adults with learning
disabilities often avoid activities that involve reading, writing and math.
They may report strength in areas such as playing music, participating in
sports, or working with their hands.
The absence of any significant strengths may suggest the presence of low
intellectual functioning rather than a specific learning disability.
This section deals
with life skills that we would expect adults with average ability to have
mastered. Adults with learning disabilities may experience problems with tasks
involving money, time, organization and relationships.
After completing the
Delta Screener with the adult student, you will have gathered a great deal of
information. You may also have made notes on comments made during the session.
Now you will need to review this data to see if there are indicators of a
possible learning disability.
Keep in mind:
· A slow learner or a person with low intellectual ability will report difficulties in many areas on the Screener
· An adult with learning disabilities will report that they have experienced problems from a very young age.
· An adult with learning disabilities will display a pattern of strengths and areas of need: good in some things and not in others. They may also reveal a pattern of discrepancies between expected outcomes and achievements.
The following are examples of risk indicators you should look for as you go through the data to try to determine if there is evidence of a learning disability.
· Does the student appear to be "average" in ability, yet report school failures?
· Does the student speak well but report reading difficulties?
· Does the student speak well but is unable to put thoughts into written form?
· Does the student appear to be capable but yet reports difficulty in organization and/or memory?
· Does the student have adequate or good communication skills but reports having difficulty in math?
As you review the results from the Delta
Screener, you may find it helpful to use the Learning Disabilities At Risk Summary Checklist to help you
summarize the results and make a decision whether the adult should be referred
for an assessment to formally diagnose the existence of a specific learning
disability.
Today’s date: _______________________________ Revised: January, 2004
Name ________________________________ Age_____________ Birth date_________________
Phone _______________________________ Address: ________________________________
Completed together with______________________________________
o Full-time student o Part-time student o Special Studies
Program ________________________________________ Semester/Level___________________
1. How many courses are you taking this semester?____________________________________
Please list each of your courses below:
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2. What difficulties are you having now?
________________________________________________________________________
________________________________________________________________________
3. Please indicate any of the following problems currently affecting your learning:
o attendance o test taking
o note taking o not handing in assignments
o disorganization o procrastination
o time management o over-extended with work/activities
o study skills o memory problems
o anxiety: test ___, speaking ___,
performance ___
4. Have you failed or dropped any courses in your program?
If so, please list_____________________________________________________________
________________________________________________________________________
5. Have you attended any other post-secondary institutions prior to coming to this college?
Yes o No o
If yes, please give
details:_____________________________________________________
6.
Were
you registered with the Disability Services Office at that institution?
Yes o No o
7.
If
yes, did you receive any accommodations (e.g. extra time for exams)?
Yes o No o
If yes, please specify: ________________________________________________________
The Delta Screener was development
by the LD Special Interest Group of the College Committee on Special Needs
(CCDI), a Provincial Group under the
Ministry of Training: Colleges and Universities. It was developed for use
by qualified practitioners working with adults with learning problems.
(attach transcripts where available)
8.
Please
list the schools you have attended: (Elementary,
Secondary, Specialized, Adult Ed.)
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9. What was the highest grade that you completed? ____________________________________
10. What grades, if any, did you repeat? ____________________________________________
11.
Did you receive a Secondary School
Diploma? Yes o No o
12.
What
type of courses did you take at secondary school? ______________________________
________________________________________________________________________
(Advanced/General/Basic,
University/College/Mixed/Workplace)
(please attach high school
transcripts)
13.
How
old were you when you left secondary school? _________________________________
14.
Why
did you leave school? ___________________________________________________
_________________________________________________________________________
_________________________________________________________________________
15. What further courses or training have you had since you left school and where did they take place?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
16.
Did
you have frequent or extended absences from school? Yes o No o
17.
If you
were, was it due to illness or for some other reason?
_________________________________________________________________________
_________________________________________________________________________
18. What were your favourite or best subjects? (explain why)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
19. What were your least favorite or most difficult subjects? (explain why)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
20. What format of exams is difficult for you?
o multiple choice o math/technical word problems
o short answer o written computer theory tests
o essay o written math calculations
21. Did you have difficulty completing exams within the allotted time?
_________________________________________________________________________
22. Did you receive any special education/remedial/resource assistance/specialized tutoring in elementary or secondary school? Yes o No o
If yes, what kind of help was it and in which grades did this help take place? (be specific)
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________
23. What did you find helpful (or not helpful) about this extra help?
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
24. Who in your family helped you with your homework? _____________________________
25. Approximately how many hours per night did you receive help with your homework? ____
26. Do you find it easier to learn by
o listening or hearing?
o reading?
o writing?
o saying things out loud?
o working with your hands?
27.
Did you have any special testing for
your school problems? (This refers to
psycho-educational assessment not to regular class tests and exams.) Yes o No o
_________________________________________________________________________
28. What did you understand about your assessment? (please attach reports if available)
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
29. Were you ever told that you had a learning disability or an attention-deficit disorder? (Other terms such as perceptual handicap or dyslexia may have been used.)
_________________________________________________________________________
_________________________________________________________________________
30. Have you ever been prescribed medication for an attention-deficit disorder
(e.g. Ritalin)? Yes o No o
________________________________________________________________________
31.
Were you ever considered a behavioural
problem in school? Yes o No o
_________________________________________________________________________
_________________________________________________________________________
32. How would your parents or teachers have described you as a child (e.g. nicknames, frequent comments,...)?
_________________________________________________________________________
_________________________________________________________________________
33.
Have you ever been identified as
an exceptional student: (please
attach documents if available)
i) by an Identification,
Placement and Review Committee (IPRC)? Yes o No o
ii) supported by an
Individual Education Plan (IEP)? Yes o No o
iii) did you have any assistance planning for post-secondary? Yes o No o
34. Have you received any training in assistive technology or learning strategies?
_________________________________________________________________________
_________________________________________________________________________
35. What learning strategies or assistive technology is most helpful to you? (e.g. mind mapping, flashcards, colour coding, tape recorder, voice synthesis computer…)?
_________________________________________________________________________
_________________________________________________________________________
Do you have access to computer technology at home? Yes o No o
36. What other comments would you like to make regarding your schooling or any of the problems that you face when you are learning?
_________________________________________________________________________
_________________________________________________________________________
37. What language is spoken at home? 1st___________________ 2nd__________________
38.
What language
were you schooled in_____________________________________________
39.
If
other than English, did you have trouble learning to read and write in your first
language? Yes o No o Not
applicable o
40.
Do you need to
translate back and forth between English and your native language while
doing schoolwork? Yes o No o Not applicable o
41. Did you have any difficulty learning to talk? Yes o No o
42. Did you receive any Speech and Language Assessment or Therapy? Yes o No o
If yes: please describe:_______________________________________________________
43.
Did
your birth history include any of the following complications?
Premature birth Yes o No o
Low birth weight (< 3 lbs.) Yes o No o
Respiratory Distress Yes o No o
44. Did you receive an Occupational Therapy Assessment or Training for difficulty with fine motor skills? Yes o No o
If yes: please describe :______________________________________________________
45. Has anyone in your family (children, parents, siblings, etc.) had problems with learning? Yes o No o
If yes: please explain: _______________________________________________________
________________________________________________________________________
_______________________________________________________________________
46.
What
was the highest grade achieved by your parents? Father:________Mother:________
47.
Does anyone in
your family have difficulties with an attention-deficit disorder,
substance abuse, and/or mental health problem?
Attention deficit disorder Yes o No o
Substance abuse Yes o No o
Mental Health Problems Yes o No o
If yes: please explain: _______________________________________________________
________________________________________________________________________
48.
Do you
have any recurrent or chronic health problems or conditions?
Yes o No o
If yes, please specify: _______________________________________________________
49. Have you ever had a serious accident or illness? Yes o No o
If yes, please specify: _______________________________________________________
50. Have you ever been unconscious? Yes o No o
If yes, provide details? ______________________________________________________
________________________________________________________________________
51. Do you take any medications on a regular basis? Yes o No o
If yes, please list type of
medication, how long you have been taking it and its purpose
________________________________________________________________________
52.
Do you have, or
have you had in the past problems with any of the following?
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Yes |
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No |
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Yes |
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No |
Hearing |
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Allergies |
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Vision |
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Drug Abuse |
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Head
injury |
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Alcohol Abuse |
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Emotional
Trauma |
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Ear Infections |
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Headaches |
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Migraines |
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If yes, please describe ______________________________________________________
________________________________________________________________________
________________________________________________________________________
53. Have you had a history of depression, anxiety or other emotional or psychological difficulties (for example: eating disorder, school phobia, suicide attempts?) Yes o No o
Have you ever taken medication for this condition? Yes o No o
If yes, please give details: _____________________________________________________
_________________________________________________________________________
_________________________________________________________________________
54. Of all the jobs (both paid and unpaid) you have worked at, what type of work did you enjoy the most?
_________________________________________________________________________
_________________________________________________________________________
55. Explain any problems that you have that affect the type of jobs that you get, or that keep you from getting jobs that you would like to have.
_________________________________________________________________________
_________________________________________________________________________
56.
If you
are currently working, how many hours are you working per week? _________________
57. What kind of work would you like to do in the future?________________________________
_________________________________________________________________________
58.
How committed
are you to this career goal?
Somewhat____ ____ Quite____
Extremely____
59.
Have
you ever quit a job? _____ Why?________________________________________
_________________________________________________________________________
60.
Have
you ever been fired? _____ Why? _______________________________________
61.
How
many jobs have you had in the last two years? ______________________________
62.
What
is the longest you have worked at a job? ___________________________________
63.
What
type of supervisor do you prefer? _________________________________________
64.
Do you
prefer to work: alone _____ as a team
_____
65. How well do you get along with co-workers?
____________________________________
66. What held you back from applying for higher level jobs? ___________________________
_________________________________________________________________________
Please indicate if these items have
been a problem to you. For each
question, please answer “Almost Never”, Sometimes” or “Often”.
Do you have trouble... |
Almost Never |
Sometimes |
Often |
Understanding what is said to you |
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Putting your thoughts into words
when speaking |
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Finding a particular word(s) when
speaking |
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Taking part in conversations |
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With reading speed |
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Understanding what you read |
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Sounding out words |
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With math calculations |
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With math reasoning/word problems |
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Quickly recalling math facts |
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With handwriting |
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With spelling |
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Writing your thoughts on paper |
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Understanding jokes |
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Remembering what you hear |
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Organizing, planning or keeping
track of time |
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Paying attention or concentrating |
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Knowing right from left |
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Following oral or printed
directions |
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Listening to lectures and taking
notes at the same time |
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This final section asks questions about daily living. For each question, please answer, “Almost
Never”, “Sometimes or “Often”.
Do you have problems with... |
Almost Never |
Sometimes |
Often |
Shopping |
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Handling money and banking |
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Using public transportation |
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Telling time |
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Housekeeping |
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Being organized |
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Programming electronic equipment |
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Using an automated banking machine |
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Looking after yourself |
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Driving |
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Using the telephone |
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Cooking |
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Making or keeping friends (or both) |
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Solving problems |
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Using automated telephones |
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Which of the following activities
are you good at? Answer each question
with “Not
at all”, “Sometimes” or “Often”.
Are you good at... |
Not at all |
Sometimes |
Often |
Art |
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Music |
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Sports |
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Drama |
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Dancing |
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Writing poems, plays, songs |
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Woodworking |
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Building or repairing mechanical |
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Using a computer |
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Driving a car |
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Public speaking |
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Listening skills |
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Telling jokes |
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Are there other things you like to
do we have not mentioned?__________________________
_________________________________________________________________________
_________________________________________________________________________
_________________________________________________________________________
Adapted from screening questionnaires developed by the
Learning Disability Association of Canada, Carol Herriot at the University of
Guelph, and the University of Minnesota
1 Vision problems may have interfered with learning o yes o no
2 Hearing problems may have interfered with learning. o yes o no
3
Health problems or Physical
Disabilities may have
interfered with learning. o
yes o no
4 Irregular attendance may have interfered with learning. o yes o no
5 Lack of motivation, personal concerns and
poor application to studies may have interfered
with learning o
yes o no
5
Student seems competent in a number of areas and
seems to be of at least average intellectual ability. o yes o
no
6
There is variability in abilities with many strengths and
some or many problem areas. o
yes o no
7
There is difficulty in learning (listening / speaking /
reading / writing / math / organization / problem-solving /
memory/ concentration/basic life skills). o
yes o no
8
There is a history of difficulties in learning from a
young age. o
yes o no
9 There is a previous diagnosis of learning disabilities. o yes o no
10 There is a history of special help in school. o yes o no
11
There is a discrepancy between the highest grade
completed and the number of years to complete
studies, despite regular attendance at school. o
yes o no
12 There is a family history of specific learning disabilities. o yes o no
13
For ESL adults, there is difficulty learning English
literacy skills as well as literacy skills in native language
or difficulties learning literacy skills in native language. o yes o no