Irlen Syndrome Questionnaire

Name *

First Name

Last Name

1. Do you experience discomfort, strain, or fatigue when reading or engaging in visually intensive tasks? *

Never

Rarely

Sometimes

Often

Very Often

2. Are there specific patterns or textures that seem to cause discomfort or make it difficult for you to focus visually? *

Never

Rarely

Sometimes

Often

Very Often

3. Do you find yourself sensitive to bright lights or glare when reading or working on electronic devices? *

Never

Rarely

Sometimes

Often

Very Often

4. Do you experience headaches or eye strain related to exposure to certain types of lighting? *

Never

Rarely

Sometimes

Often

Very Often

5. Are there specific colours that you find more soothing or comfortable for reading or other visual tasks? *

Never

Rarely

Sometimes

Often

Very Often

6. Do certain colour combinations or patterns on a page make it difficult for you to concentrate? *

Never

Rarely

Sometimes

Often

Very Often

7. Do you notice any distortions, such as words or letters appearing to move or change shape when reading? *

Never

Rarely

Sometimes

Often

Very Often

8. Are there instances where the text appears to blur or become unclear during reading? *

Never

Rarely

Sometimes

Often

Very Often

9. Do you experience difficulties with tracking lines of text, losing your place, or skipping lines when reading? *

Never

Rarely

Sometimes

Often

Very Often

10.Are there challenges in maintaining concentration and focus while reading for extended periods? *

Never

Rarely

Sometimes

Often

Very Often

11. Do you frequently experience headaches, fatigue, or discomfort after engaging in reading or other visual activities? *

Never

Rarely

Sometimes

Often

Very Often

12. Is there a noticeable difference in your energy levels or well-being when reading under different lighting conditions? *

Never

Rarely

Sometimes

Often

Very Often

13. Have you noticed any challenges in reading comprehension or retention of information? *

Never

Rarely

Sometimes

Often

Very Often

14. Are there subjects or tasks that seem more difficult due to visual discomfort or reading-related issues? *

Never

Rarely

Sometimes

Often

Very Often

15. Were you previously aware of Irlen Syndrome before taking this questionnaire? ? *

Yes

No

16. Have you or anyone close to you been diagnosed with Irlen Syndrome or other visual processing difficulties? *

Yes

No

17. Have you ever experimented with using colored overlays or filters while reading or engaging in visual tasks? *

Yes

No

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No, thank you.

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I agree

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Yes, please!

No, thank you.