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Table 4 Wearing experience questionnaire - 3

From: Evaluating the myopia progression control efficacy of defocus incorporated multiple segments (DIMS) lenses and Apollo progressive addition spectacle lenses (PALs) in 6- to 12-year-old children: study protocol for a prospective, multicenter, randomized controlled trial

  

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

  1. Modified from Reference [10]