Do you have the following symptoms when you wear spectacles? | |||||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Never | ➞ | Seldom | ➞ | Sometimes | ➞ | ➞ | Often | ➞ | Always | ||
1 | Blurred vision at a long distance | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
2 | Blurred vision at an intermediate distance (e.g., computer) | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
3 | Blurred vision at a short distance (e.g., reading, smartphone) | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
4 | Ghosting image | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
5 | Unstable vision at a distance | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
6 | Unstable vision at close range | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
7 | Difficulty or slowness in refocusing your eye from one distance to other | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
8 | Eyestrain | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
9 | Double vision | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
10 | Dizziness | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |
11 | Headache | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | 10 |