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. Author manuscript; available in PMC: 2007 Jun 19.
Published in final edited form as: J AAPOS. 2006 Oct;10(5):476–478. doi: 10.1016/j.jaapos.2006.07.009

Table 1.

Sample survey question related to barriers to screening.

There are many reasons why children don’t see an eye specialist after vision screening. Please tell me whether the following were related to why [child’s name] didn’t see an eye specialist. Was it because…:
You didn’t think [child’s name] had a problem seeing?
The doctor didn’t tell you which specialist to see?
There were no eye specialists close to where you live?
Your insurance wouldn’t cover it?
You couldn’t afford the cost of an appointment with an eye specialist?
There were no convenient appointments available with an eye specialist?
You’d have to miss work to take [child’s name] to the specialist?
You didn’t have transportation to get to an appointment?
Another reason?