Teacher Checklist
Signs Glue Ear May Be Affecting a Pupil
Full Name
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Email
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Child appears inattentive or “dreamy” during lessons.
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Yes
No
Frequent need to repeat instructions.
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Yes
No
Child often watches peers for visual cues before acting.
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Yes
No
Struggles more in group discussions or noisy classrooms.
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Yes
No
Speech or pronunciation difficulties.
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Yes
No
Academic progress lower than expected despite effort.
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Yes
No
Behavioural issues linked to frustration or misunderstandings.
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Yes
No
Child sits very close to the teacher or whiteboard.
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Yes
No
Responds inconsistently depending on the noise level.
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Yes
No