Please indicate how often these symptoms are experienced by you or your child.
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How often do you get headaches with near work (such as reading)?
How often do words run together while reading?
How often do you get burning, itching, or watery eyes?
How often do lines skip or repeat while reading?
How often do you tilt your head or close one eye while reading?
How often do you have difficulty copying from the board?
How often do you avoid near work (such as reading)?
How often do you omit small words while reading?
How often does your writing drift uphill and/or downhill?
How often do you misalign digits and/or columns of numbers?
How often do you experience poor reading comprehension?
How often do you hold books or near work too close to your eyes?
How often do you have a short attention span with near work (like reading)?
How often do you have difficulty completing assignments on time?
How often do you say "I can't" before trying something?
How often do you knock things over or feel "clumsy"?
How often do you feel you use your time poorly or have poor time management?
How often do you lose your belongings or misplace things?
How often do you forget things or feel you have a poor memory?
Check Answers
Your Result:
Sorry, no results found.
Please repeat the quiz and try different answer combinations.You don't need to schedule an evaluation.
Your score is under 20. Your score does not indicate a binocular vision problem at this time. Please note that this survey is a screening and does not cover all of the symptoms that an individual with a vision problem could experience. A visit to our office can help answer any questions or concerns that you have about you or your child.
You should schedule an evaluation!
Your score is 20 or greater. This score indicates a high likelihood that you (or your child) have a binocular vision problem that is affecting your/your child's performance at work, school, athletics, or other areas of life. We recommend that you schedule an evaluation at our office.