Eye Muscle Self-Evaluation Test

Check the most appropriate answer (Yes / No) to the questions listed below:

Question	Yes	No
Do you lose concentration while reading?
Does your vision seem worse at the end of the day?
Do you sometimes have blurred vision?
Do your eyes feel tired at the end of the day?
Do you experience double-vision?
Do you get tired or fall asleep while reading or using the computer?
Do you often close one eye while reading?
Do words seem to “run together” or appear blurry when reading?
When reading, do you skip or repeat lines?
When you look up from reading do objects appear blurred?
Do you lose your place when you moving from copy to screen?
Do you ever have car sickness?
Do you find reading in a moving vehicle difficult?
Do you every feel as if your eyes are working independently?
Do you feel that both eyes are working equally well?
When reading, do you hold the material about 7 to 8 inches away from your eyes?
Do you experience headaches after reading or working on the computer for long periods?