Logifera

Your Information

All information is kept confidential and used only for assessment purposes

Who is this assessment for? *

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For Myself

I am taking this assessment for myself

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For My Child

I am setting up this assessment for my child

Your Information

First Name *

Last Name *

Email Address *

Username *

3-50 characters. Letters, numbers, and underscores only.

Password *

Minimum 8 characters.

Age *

Birthday *

Highest Education Level

Gender

School or Institution Name (Optional)

Interests & Hobbies (Optional)

How would you describe your reading level?

Parent/Guardian Information

Parent First Name *

Parent Last Name *

Parent Email Address *

Username *

3-50 characters. Letters, numbers, and underscores only.

Password *

Minimum 8 characters.

Parent Age *

Parent Birthday *

Parent Highest Education Level

Parent Gender

Child Information

Child First Name *

Child Last Name *

Child Age *

Child Gender

Child Grade Level

Child School Name

Child Birthday *

How would you describe your child's reading level?

Child Interests & Hobbies (Optional)

Child's Known Learning Challenges (Optional)

Child's Previous Assessments (Optional)

Primary Language *

What language does the person taking the assessment primarily speak and write in?

Has anyone in your family been diagnosed with dyslexia or reading difficulties?

Yes No Not Sure

What specific concerns prompted you to take this assessment? *

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Your Information

For Myself

For My Child

Your Information

Parent/Guardian Information

Child Information