Myopia Assessment Quiz

To find out your child’s risk for myopia, or for their myopia to get worse, take our short quiz. With only a few questions, you will know your child’s risk level for progressive myopia and what you can do to help them.

Name

First Last

Email

Is your child myopic (Needs glasses or contact lenses to see clearly at a distance)?

Yes
No
Unsure

Is Your child Between the ages of 4 and 18?

Yes
No

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 electronic devices, etc.)?

Approximately how many hours per day does your child spend outdoors, including school recess/breaks?

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