Something went wrong
Please scan the QR code again.
Thank you. Your lifestyle questionnaire has been completed.
Patient Details
Patient ID
*
Age
*
Gender
*
Male
Female
City / Town
*
Occupation
*
Tell us about yourself
1)
What does your daily activity mostly comprise of from the below (you can choose more than 1)
*
Reading books
Playing sports
Watching TV
iPad/Tablet/Computer use
Night driving
Other activities
2)
Are you comfortable zooming in on your mobile phone text content?
*
Yes
No
3)
Will you be interested in getting rid of glasses after cataract surgery given an option?
*
Yes
No
4)
What activities do you think you will enjoy most with reduced dependency on glasses?
*
Submit