On-line dyslexia screening

Would you like to be screened on-line to see if you might be dyslexic?
No? Click here to return to home page

Before you apply for the On Line Dyslexia Screening, you probably need to know more about it.
Click here for the answers to some frequent questions.

Do you wish to apply for a Quickscan online dyslexia screen?
No, this is not suitable for me: click here to return to home page

QuickScan Dyslexia Screening Test for Adults (16+) costs £30.

Please fill in the form below and click the Send button to email it to us.
We will contact you as soon as possible, within 2 working days:

If your screen is being funded by a training provider or other organisation, we will arrange to invoice them.
Otherwise we will ask you to pay by cheque.

When payment has been arranged, we will send you an email with instructions to allow you to log on to the test.

Your Details

Forename:

Surname:

Address:

Postcode:

Email:

Home phone:

Work phone:

Mobile phone:

Gender:
Male Female

Ethnicity:

Date of birth:

Client Status

Employment

Are you employed: Yes No

Learning

Are you in education?

School

FE College

University

Work-Based Learning

Is there anything else you would like to add?