

Vision symptom screening
This takes about 5-10 minutes. Your answers help your eye doctor identify whether a functional vision evaluation may benefit you. Please complete all fields before continuing.

Part 1 of 2 — Binocular vision symptoms
For each question, select how often you experience the symptom when reading or doing close work. Answer based on your typical experience over the past few weeks.

Part 2 of 2 — Brain injury vision symptoms
Rate how often you have been experiencing each symptom since your injury. If your injury was long ago, answer based on your current ongoing experience.

Symptom screening results