AMD Treatment Survey Question Title * 1. What are the daily challenges of living with AMD? Difficulty reading Not able to drive Frequent visits to the eye doctor Difficulty cooking General mobility challenges (for example, moving around the house) Depression Other (please specify) Question Title * 2. Are there activities that you find particularly difficult or can no longer do? Reading Driving Cooking Traveling Housework Other (please specify) Question Title * 3. Are you currently receiving injections to treat wet-AMD? Yes No Question Title * 4. Do you know which type of drug you are currently receiving for wet-AMD? Bevacizumab (Avastin) Ranibizumab (Lucentis) Aflibercept (Eylea) Don’t know Nothing Question Title * 5. Have you used other treatments in the past for wet-AMD? Bevacizumab (Avastin) Ranibizumab (Lucentis) Aflibercept (Eylea) Don’t Know Other Other (please specify) Question Title * 6. Do you feel that your current wet-AMD treatment is working for you? Yes No Not Sure Other (please specify) Question Title * 7. Have you ever experienced any of the following side effects with your wet-AMD treatment? Eye pain Dizziness Blurred vision Headaches after the injection into the eye Bleeding in the eye Floaters Lost vision/temporary blindness Chest pain Unexplained hospitalization Other (please specify) Question Title * 8. Can you describe some of the more challenging side effects? Question Title * 9. Have negative side-effects ever led you to look for different treatment options? Yes No Other (please specify) Question Title * 10. Have you ever experienced any challenges with accessing treatments for your wet-AMD? Yes No Other (please specify) Question Title * 11. Is there a caregiver (for example, the person who takes you to get your treatments) who is available to answer questions 12 and 13? If your answer is no, please skip ahead to question 14. Yes No Question Title * 12. Does your treatment schedule affect other members in your family? Yes No Other (please specify) Question Title * 13. What are the challenges that you face caring for a loved one with wet-AMD? Question Title * 14. Have you ever participated in a clinical trial to test a new wet-AMD treatment? Yes No Question Title * 15. Are you hopeful that new drugs will be developed to treat wet-AMD? Yes No Question Title * 16. Do you feel that you have access to new treatments that are being developed? Yes No Question Title * 17. What are your hopes for the future of wet-AMD treatments? Done