Myopia Management Quiz
Is my child at risk? Take the quiz
How old is your child?
*
Is your child myopic (Needs glasses to see clearly at a distance)?
*
Yes
No
Unsure
Is an immediate family member (father, mother or sibling) myopic? **select YES even if that family member has had LASIK or another refractive surgery procedure for myopia.
*
Yes
No
Unsure
Approximately how many hours per day does your child spend on close work (reading and using digital devices, etc.)?
*
Less than 2 hours
2 hours or more
Approximately how many hours per day does your child spend outdoors, including school recess and breaks?
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Less than 2 hours
2 hours or more
Does your child spend a lot of time doing near work such as reading, studying or computer use?
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Yes
No
Unsure
How often does your child take study breaks from the computer screen while doing online schooling or studying?
*
Less than 2 hours
2 hours or more
Child's name
*
Email
*
example@example.com
Submit
Should be Empty: