We greatly appreciate you taking the time to fill out this survey. By completing this brief, anonymous form, you are helping us to build better educational resources and improve your care pathway. Thank you!

* 1. What is your age group?

* 2. What vision condition(s) do you have? (check all that apply)

* 3. In what year (approximately) were you diagnosed? (if you have more than one condition, please specify the year for each condition):