Vision & Learning Questionnaire

To see if you or your child has a functional vision problem, fill out our vision questionnaire. Select the option that best describes how often each symptom occurs.

(This survey is not a substitute for consulting a physician, and does not provided diagnoses.)

According to the American Optometric Association, a score of 20 or more points* or the persistence of 1-2 symptoms indicates the need for a comprehensive eye exam.

Our doctors specialize in diagnosing and treating learning related vision problems that impact school performance, reading, comprehension, and sports.

(*JAM Optom Assoc 2006; 77:116-123)

Binocular Vision Dysfunctions & Neuro-visual Medicine

If you think you or your child might have a Binocular Vision Disorder, please fill out this questionnaire and submit it to us after completion. We will interpret your responses and contact you regarding the results.

For individuals 13 years of age and younger. Youth Questionnaire
For individuals 14 years of age and older. Adult Questionnaire