Crystal Clear Learning Home

 

 

 

 

 

Please enter your details below, then fill in the simple 'yes or no' questionnaire. You must include contact details for us to reply to you. If you do not have an email address, please supply other contact details.

Name:

Email:

Phone No (Optional):

Address (Optional):

Select your closest region:

Australia
United Kingdom
United States

Are you/Is your child a poor speller?

Yes
No

Do you/Does your child have difficulty spelling “simple” words such as “any”, “the” and “because”?

Yes
No

Do you/Does your child get confused with letters such as “b” and “d” and “p” and “q”?

Yes
No

Do you/Does your child reverse numbers, letters or words such as “was” and “saw”?

Yes
No

Is your/your child's handwriting difficult to read?

Yes
No

Does your/your child's mind go blank while reading or spelling?

Yes
No

Do you/Does your child generally find reading difficult?

Yes
No

Do you/Does your child begin to yawn or feel uncomfortable when you read?

Yes
No

When reading, do you/does your child lose your/their place on the page or reread the same line?

Yes
No

Do any other members of your family (brothers, sisters, parents, grandparents, aunties, uncles or cousins) experience any of these problems?

Yes
No

Tell us why you think you or your child have a learning difficulty.