|
Yes |
No |
| Frequent headaches |
 |
|
| Eyes frequently red |
|
|
| Double vision |
|
|
| Closing or covering one eye |
|
|
| Eyes tire easily or hurt |
|
|
| Holding reading close |
|
|
| Tilting head while reading |
|
|
| Losing place while reading |
|
|
| Pointing to keep place on page |
|
|
| Words moving on page |
|
|
| Poor reading comprehension |
|
|
| Focus changes while reading |
|
|
| Getting drowsy while reading |
|
|
| Purposely avoiding reading |
|
|
| Difficulty completing work on time |
|
|
| Reversing letters/numbers |
|
|
| Difficulty with spelling |
|
|
| Poor handwriting skills |
|
|
| Short attention span |
|
|
| Blurry vision- far away |
|
|
| Blurry vision-close up |
|
|
| Focusing is slow from near to far (or far to near) |
|
|
| Discomfort during or after computer work |
|
|
| Poor general coordination |
|
|
| Motion sickness |
|
|
| Sensitivity to light |
|
|
| Color vision problems |
|
|
| Wearing an eye patch |
|
|
| Visual therapy |
|
|
