STEP 1 OF 4 · ABOUT YOU

Tell us a little about yourself

This helps your optometrist understand your needs before your eye test.

Do you currently wear glasses or contact lenses?

What does your typical week include?

Select all that apply.

Work & ScreensComputer, phone, tablet and office work.
DrivingDay-to-day driving, commuting or long distances.
Reading & Detail TasksBooks, hobbies, paperwork and close-up work.
Outdoors & SunWalking, gardening, beach, travel and bright light.
Sport & Active LifestyleGolf, cycling, running, gym or other activities.
Travel & AdventureFrequent travel and changing environments.

Which takes up most of your time?

Choose the one that best describes your typical day.

Which of these do you experience?

Select all that apply.

Glare from sunlightBright outdoor light feels uncomfortable.
Glare from headlights at nightOncoming lights feel harsh or distracting.
Tired eyes after screen useEyes feel strained after computer or phone use.
Difficulty reading small printMenus, labels or documents are harder to read.
Switching between near and farYou often change focus between distance and close-up.
Headaches or eye strainYour eyes feel tired or uncomfortable during the day.
Struggle to sleep after using screensEspecially after screen use in the evening.

Anything else your optometrist should know?

Add anything that may help guide the conversation during your eye examination.

Thank you

Your Vision Profile has been sent to your optometrist and will be discussed during your consultation.