This simple Yes/Notest, which you can complete at home in your own time is intended to provide an indication about whether you may need to consider professional screening for Irlen® Syndrome. I ask for your contact details so that I can contact you to discuss the screening results with you, in confidence.
You are under no obligation to undertake a full screening assessment; nor will your details be used to promote my services in the future. Most importantly your contact details will not be passed onto any third parties. If, as a result of completing this form and discussing the results you decide to go no further with the process then the information and the form will be destroyed