Adult and Childrens Opticians
Cardiff Est. 1989

02920 228 144

childopt@aol.com
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Questionnaires

Vision assessment questionnaires are very important to guide testing during an assessment and also serve as a useful benchmark of symptoms and difficulties before versus after a vision treatment. The more complete the information the more we are able to target the assessment to your needs.

Questionnaires must be completed at least 2 weeks in advance of your appointment date.

Questionnaire

Under 16 years

Please fill in both questionnaires.

Students over 16 years

Please fill in both questionnaires (if appropriate).