Cvs-Questionnaire

Do you have a previously diagnosed Dry Eye Diseas ?
yes
No

Are you using any topical eye drops for this dry eye ?
yes
No

Do you have any refractive errors ?
yes
No
i don't know

Are you wearing glasses or contact lenses ? *
yes
No

Describe the details of objects you see after prolonged hours on your digital screen :
Clearzy
Blurred
Hazy

After using my smart phone for prolonged hours, I am complaining of :
Joint pain in my fingers and wrists
Inability to hold objects well
Difficulty to write using the pen
Shoulders pain
None

How many years did you spent this way on the screen :
Nearly 1 year
Nearly 2 year
Nearly 3 year
Nearly 4 year
> 5 years

I am frequently using :
Touch Screen
Touch-pad
Note pen
Mouse and keyboard

Are you usually studying MEDICINE using :
Screens
Books
Both

Do you feel that the digital screen affects your life style and eye health ?
yes
No

Are you willing to decrease your screen hours to guard against CVS ?
yes
No