Sample of the questions which you will be asked to complete
The questionnaires have 47 short questions asking about your vision, general health and lifestyle.
These are answered by selecting the best option and should take around 10 mins to complete.
Below are some examples of the question types.
- How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, fixing things around the house, sewing, using hand tools, or working with a computer?
- No difficulty at all
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- Never try to do these activities because of vision
- Never do these activities for other reasons
- How much difficulty do you have seeing things off to the side, like cars coming out of driveways or side streets or people coming out of doorways?
- No difficulty at all
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- How much difficulty do you have getting used to the dark when you move from a lighted area into a dark place, like walking into a cinema?
- No difficulty at all
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- How much difficulty do you have driving at night?
- No difficulty at all
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- Never drive at night because of vision
- Never do this for other reasons
- How much difficulty do you have driving in difficult conditions, such as in bad weather, during rush hour, on the motorway or in city traffic?
- No difficulty at all
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- Never drive in these conditons because of vision
- Never do this for other reasons
- Because of your eyesight, how much difficulty do you have with your daily activities?
- No difficulty at all
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like hiking, swimming, aerobics, team sports, or jogging)?
- No difficulty
- A little difficulty
- Moderate difficulty
- A lot of difficulty
- Never try to do these activities because of vision
- How much does dryness in your eyes bother you?
- Don’t have dryness
- Not at all
- Very little
- Moderately
- Quite a bit
- A lot