Question

Name

qi_C7

Label

C7

Question Text

In the light of your examination and the records you have seen, would you consider that there is any current visual defect, and does it result in interference with normal schooling or everyday functioning?

Instructions

Tick one box only

Type
Text
Maximum Length
255

Usage

87 questions before...
A Sheridan-Gardiner near-vision chart is provided in the instruction manual. The teenager should hold it in a good light at a distance of approximately 10 inches away from the eyes. Please occlude the other eye efficiently without pressure on the eyeball. If the teenager cannot read, ask him/her to draw the letters in the air. Test near vision in all teenagers and then retest only teenagers with glasses/lenses, wearing them.
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1 - 6

2 - 9

3 - 12

4 - 18

5 - 24

6 - 36

7 - 60

8 - Worse than 60

9 - Unable to test

Near Vision without glasses (all teenagers): Right eye
Near Vision without glasses (all teenagers): Left eye
Near Vision wearing glasses/contacts: Right eye
Near Vision wearing glasses/contacts: Left eye

In the light of your examination and the records you have seen, would you consider that there is any current visual defect, and does it result in interference with normal schooling or everyday functioning?

Tick one box only

1
No visual defect
2
Visual defect - but no interference
3
Visual defect - with some interference
4
Visual defect - manages school books with difficulty
5
Visual defect - requires special school books/visual aids
6
Visual defect - vision insufficient for special books
7
Unable to assess (please give reason ...)
8
Not examined
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98 questions after...
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