The Victoria Symptom Validity Test (VSVT) is a neuropsychological test used to measure effort level. It contains two components of perceived difficulty, both in the instructions and the items. The test consists of three blocks where an individual is presented with a five-digit number and has to remember that number for either five, ten, or fifteen seconds. The number is then presented with a foil. Easy items do not have any overlapping numbers with the foil, whereas difficult items contain the same numbers that have been arranged differently. The individual then chooses the number they were shown before. The purpose of this study was to determine the effect of perceived difficulty on participants’ scores. Archival data from 73 individuals was used to conduct the study. Results show that individuals who failed the VSVT performed significantly worse on the difficult items compared to the easy items. Performance improved between blocks.