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Adult Vision Screening and HealthyEyes
Tuesday, December 8, 2026
10:00am-12:30 pm

Registration

Please complete the registration information below and click the "Done " button. For further information, contact Lauras@pbohio.org. You will receive a Zoom link in your e-mail a week prior to the training.
1.Preferred Salutation(Required.)
2.First Name(Required.)
3.Last Name(Required.)
4.Home Address(Required.)
5.Work phone number(Required.)
6.Home or Cell Phone number(Required.)
7.Preferred E-mail address(Required.)
8.Alternate e-mail
9.Job title, volunteer position, or student. If you are a student or volunteer put where you go to school or where you volunteer (or plan on volunteering.) Include the address and organization below.(Required.)
10.Do you need any accommodations to attend the webinar? If yes, please describe.
11.Work Address(Required.)
12.Once you complete training, are you willing to be contacted to provide vision screenings in your area?(Required.)
13.Have you been certified as an adult vision screener by Prevent Blindness  in the past?(Required.)
14.If yes, are you taking this class to re-certify?(Required.)
15.If yes, do you have the near and distance charts as well as Registration/Risk Assessment Forms?(Required.)
16.This next group of questions is the pre-test.
Please complete and click "done" at the end.
What is the center portion of the retina where the sharpest vision can be achieved?(Required.)
17.What is the clear, transparent outer layer of the eye that protects the front of the eye?

(Required.)
18.Which of the following are the most common eye diseases in aging adults?(Required.)
19.Age-related macular degeneration is a disease that affects(Required.)
20.Which of the following is NOT a factor that increase the risk of diabetic retinopathy?(Required.)
21.You can lower your risk of eye disease and vision loss if you:(Required.)
22.Controlling your blood pressure is a good idea for protecting your eyesight.(Required.)
23.Questions or comments