Vision Quizby administratorNovember 14, 2016May 1, 2020 Discover where you rank and how much your vision is impacting your quality of life. These first seven questions test your knowledge of how vision works and what you know about vision therapy. If I have 20/20 vision, I can't have a vision problem. True False None Vision is learned. True False None All children are ready to read at the age of six. True False None Eyesight is hereditary. You can't do anything about it. True False None Visual problems can affect a person's self-esteem and hinder success. True False None Surgery is the only way to correct strabismus (a turned eye). True False None Amblyopia (lazy eye) cannot be corrected after the person reaches the age of seven. True False None The following questions will help determine quality of life based someone's vision issues. Please select the option that best describes how often each symptom occurs Headaches from near work Never Seldom Occasionally Frequently Always None Words run together when reading Never Seldom Occasionally Frequently Always None Burning, itchy, watery eyes Never Seldom Occasionally Frequently Always None Skips/repeats lines when reading Never Seldom Occasionally Frequently Always None Head tilt/closes one eye when reading Never Seldom Occasionally Frequently Always None Difficulty copying from chalkboard/overhead Never Seldom Occasionally Frequently Always None Avoids near work/reading Never Seldom Occasionally Frequently Always None Omits small words when reading Never Seldom Occasionally Frequently Always None Writes uphill or downhill Never Seldom Occasionally Frequently Always None Misaligns digits/columns of numbers Never Seldom Occasionally Frequently Always None Reading comprehension down Never Seldom Occasionally Frequently Always None Holds reading material too close Never Seldom Occasionally Frequently Always None Trouble keeping attention on reading Never Seldom Occasionally Frequently Always None Difficulty completing assignments on time Never Seldom Occasionally Frequently Always None Always says "I can't" before trying Never Seldom Occasionally Frequently Always None Clumsy, knocks things over Never Seldom Occasionally Frequently Always None Does not use his/her time well Never Seldom Occasionally Frequently Always None Loses belongings/things Never Seldom Occasionally Frequently Always None Forgetful/poor memory Never Seldom Occasionally Frequently Always None What is your biggest concern regarding your vision? If you have any additional information or questions, please enter it in the box below. Be sure to click the Submit Questionnaire button to receive your results! Name E-mail Phone Number US State (or Country if outside USA) Time's up
