Eye Fitness Test Welcome to your Eye Fitness Test Let’s check how your eyes are feeling today ! Answer a few quick questions to receive your score of eye fitness, whether your eyes are healthy, feel a little dry, or need some extra care. Do you feel good today? Yes No None Are you under medical treatment with an ophthalmologist or optometrist? Yes No None Are you especially sensitive to light? Yes No None Are you pregnant? Yes No None Are you using eye drops? Yes No None Do you blink more frequently to help improve comfort? Yes No None Do you rub your eye frequently? Yes No None Are you wearing contact lenses? Yes No None Do you feel or notice the following signs: Sensitivity to light Never Sometimes Regularly Often Always None Do you feel or notice the following signs: Sandy feeling Never Sometimes Regularly Often Always None Do you feel or notice the following signs: Irritation and general sensitivity Never Sometimes Regularly Often Always None Do you feel or notice the following signs: Blurry vision Never Sometimes Regularly Often Always None Do you feel or notice the following signs: Decreased vision Never Sometimes Regularly Often Always None Is your visual comfort affected during: Reading Never Sometimes Regularly Often Always None Is your visual comfort affected during: Driving at night Never Sometimes Regularly Often Always None Is your visual comfort affected during: Using digital screens (PC, smartphone,...) Never Sometimes Regularly Often Always None Is your visual comfort affected during: Watching TV Never Sometimes Regularly Often Always None Do your eyes suffer in: Windy weather conditions Never Sometimes Regularly Often Always None Do your eyes suffer in: Dry air or air-conditioned places Never Sometimes Regularly Often Always None Your test results will be shared with you by email, please complete the following informations : First Name Email Time's up
