Eyeglasses Survey

Take the Vision Quiz, selecting the option that best describes how often each symptom occurs: 0=Never, 1=Seldom, 2=Occasionally, 3=Frequently, 4=Always
  • 01234
    Headaches from near work
    Words run together when reading
    Burning, itchy, watery eyes
    Skips/repeats lines when reading
    Head tilt/closes one eye when reading
    • First Choice
    • Second Choice
    • Third Choice
    • Fourth Choice
    • Fifth Choice
    Drag these into order, most important to least important
  • Should Be Red

  • This field is for validation purposes and should be left unchanged.