Parental Input Regarding Dyslexia
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Email *
What age is your child  *
What grade is your child? *
Has any notifications been provided for your child being at risk of dyslexia based on a screener?  *
Is there a family history of a learning disability or dyslexia?  *

Is your child taking any medication regarding attention deficit?

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Does your child struggle or take medication for hyperactivity?
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Does you child enjoy being read to, but does not like to read to others?

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Does your child struggle with math facts, multi-step problems, and directionality?

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Does your child struggle with writing, copying, and spelling? 
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My child has strengths in: *
Required
Are you familiar with any supports in your area regarding services for a child with dyslexia? *
My child has a current: *
Is there any additional information you would like to provide or seek regarding dyslexia in the Leland School District? *
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