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Optometry Department Eye Survey

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Name Abeera shujaat Department Bs optometry
1

Do you wear glasses or contact lenses?

Please select the option that applies to you
2

Rate your overall satisfaction with your current eye care provider

Please rate from 1 to 10, 1 being very dissatisfied and 10 being extremely satisfied
3

What is the main reason for your last visit to the eye doctor?

Please briefly describe the purpose of your last eye doctor visit
4

How often do you experience eye strain?

Please select the option that best describes your experience
5

Rate the quality of your current eyewear (glasses or contact lenses)

Please rate from 1 to 10, 1 being very poor quality and 10 being excellent quality
6

Do you have a family history of eye diseases (e.g., glaucoma, cataracts)?

Please select the option that applies to you
7

Are you currently experiencing any eye pain or discomfort?

Please select the option that applies to you
8

How often do you have your eyes checked for vision problems?

Please select the option that best describes your routine
9

Rate the importance of maintaining good eye health to you

Please rate from 1 to 10, 1 being not important at all and 10 being extremely important
10

What is your preferred method of correcting vision (e.g., glasses, contacts, surgery)?

Please select the option that you prefer or would consider
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