Do you suffer from macular degeneration?
1.
Do you need a brighter light when doing close work or reading?
Yes
No
2.
Do you have problems adapting to dimly lit places?
Yes
No
3.
Do you experience blurriness of printed words when you read?
Yes
No
4.
Was there a time when you had difficulty recognizing a friend’s face?
Yes
No
5.
Was there any change in the way you see the brightness of colors?
Yes
No
6.
Is your overall vision hazy?
Yes
No
7.
Are there blurred spots or blurry spots in the centre of your vision?
Yes
No
8.
Are you having a hard time identifying colors?
Yes
No
9.
Do you have trouble seeing fine details of objects?
Yes
No
10.
Do the ways you see straight lines appear distorted?
Yes
No
