Not sure where to start. no problem! please take our free online Functional Vision Quiz. A score of 16 or more, or the persistence of 1-2 symptoms indicates the need for testing. Click on the boxes next to the numbers.
Guideline to take Vision Quiz:
- The quiz applies to both adults and children.
- It's OK to skip a question if you don't know the answer,click 0
0=Never / I don't know, 1=Seldom, 2=Occasionally, 3=Frequently, 4=Constantly
| SYMPTOM | SCALE |
|---|---|
| 1. Do you have headaches and/or facial pain? | 0 1 2 3 4 |
| 2. Do you have pain in your eyes or dry eyes? | 0 1 2 3 4 |
| 3. Do you experience neck or shoulder discomfort? | 0 1 2 3 4 |
| 4. Do you ever find yourself with your head tilted or turn to one side? | 0 1 2 3 4 |
| 5. Do you have dizziness and/or light headedness? | 0 1 2 3 4 |
| 6. Do you feel unbalanced or clumsy, tend to bump into one side while walking? | 0 1 2 3 4 |
| 7. Do you feel overwhelmed or anxious while walking in a large department store or crowd (Target, Wal-Mart, Costco, etc.)? | 0 1 2 3 4 |
| 8. Do you have difficulty in driving or nighttime driving? | 0 1 2 3 4 |
| 9. Do you experience unexplained anxiety or nervousness? | 0 1 2 3 4 |
| 10. Do you experience poor depth perception or have difficulty estimating distances accurately or have timing issue? | 0 1 2 3 4 |
| 11. Do you avoid ball sports or inconsistent performance in sports? | 0 1 2 3 4 |
| 12. Do you experience double/overlapping/shadowed vision | 0 1 2 3 4 |
| 13. Do you experience glare or have sensitivity to bright lights? | 0 1 2 3 4 |
| 14. Do you close or cover one eye with near or far tasks? | 0 1 2 3 4 |
| 15. Do you skip lines or lose your place when you are reading? Do you use your finger, ruler or other guides | 0 1 2 3 4 |
| 16. Do you tire easily with close-up tasks (computer work, reading, writing)? | 0 1 2 3 4 |
| 17. Do you experience blurred vision with or without glasses? | 0 1 2 3 4 |
| 18. Do you experience words running together while reading? | 0 1 2 3 4 |
| 19. Do you have trouble with understand or remember what you read? | 0 1 2 3 4 |
| 20. Do you have poor eye hand coordination? | 0 1 2 3 4 |
| 21. Do you have poor handwriting? | 0 1 2 3 4 |
| 22. Do you like to be read but not like to read? | 0 1 2 3 4 |
| 23. Do you have short attention and hard time to concentrate? | 0 1 2 3 4 |
| 24. Do you have trouble maintaining a healthy relationship with people around you, either at home or at work? | 0 1 2 3 4 |