Do you suffer from Glaucoma? Question Title * 1. Do your parents or grandparents have glaucoma? Yes No Question Title * 2. Are you over the age of 40 and have a family history of glaucoma? Yes No Question Title * 3. Do you have diabetes? Yes No Question Title * 4. Do you experience a loss of peripheral vision (side vision)? Yes No Question Title * 5. Are you experiencing eye pain? Yes No Question Title * 6. How about headache? Yes No Question Title * 7. Do you have blurry vision? Yes No Question Title * 8. Do you experience appearing halos when you see lights? Yes No Question Title * 9. How about narrowing of vision (tunnel vision)? Yes No Question Title * 10. Do you experience nausea and vomiting with no apparent reason? Yes No Next
