Please answer the following questions by selecting the option that best represents your answer.
a. Report the type of SYMPTOMS you experience and when they occur:
a. Report the type of SYMPTOMS you experience and when they occur:
a. Report the type of SYMPTOMS you experience and when they occur:
a. Report the type of SYMPTOMS you experience and when they occur:
This questionnaire is meant to help you doctor understand what you are experiencing on a regular basis - whether its caused by your eyes, posture, stress, etc. Your responses will help make sure you receive the best care possible.
Your information will be encrypted.