COVD Quality of Life Survey (abbreviated version)

To see if you or your child has a Functional Vision Problem and if Vision Therapy is an option, please take our free online Functional Vision Quiz. 

Important things to know:  Some questions are based on how a child functions in the classroom. The quiz applies to both adults and children.

A score of 20 or more, or the persistence of 1-2 symptoms indicates the need for further testing.

DISCLAIMER: This quiz is only a screening tool to identify your risk for functional vision problems and should not be substituted for a comprehensive evaluation by your eye care practitioner.

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* 1. Do you experience headaches during / after near work activities?

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* 2. Do words run together while your reading?

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* 3. Do you tend to skip lines or have to repeat lines while reading?

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* 4. Do you misalign digits or columns of numbers while performing math problems?

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* 5. Do you have to tilt your head or close one eye while you read?

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* 6. Do you have difficulty copying from the chalkboard or smartboard?

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* 7. Are you clumsy and tend to run into things or knock them over?

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* 8. Do you have difficulty completing assignments on time?

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* 9. Do you avoid near work or reading?

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* 10. Do you have a tendency to write uphill or downhill?

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