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. Author manuscript; available in PMC: 2010 May 1.
Published in final edited form as: Optom Vis Sci. 2009 May;86(5):492–502. doi: 10.1097/OPX.0b013e31819f9e4d
7 Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?
10 Because of your eyesight how much difficulty do you have noticing objects off to the side while you are walking?
14 Because of your eyesight how much difficulty do you have going out to see movies, plays or sorts events?
15c If currently driving: How much difficulty do you have driving during the daytime in familiar places?
20 I stay home most of the time because of my eyesight?
24 I need a lot of help from others because of my eyesight?
A2 How would you rate your eyesight now (with glasses or contact lens on, if you wear them)?
A7 Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?
A11a Do you have more help from others because of your vision?
A11b Are you limited in the kinds of things you can do because of your vision?
A13 I don’t go out of my home alone, because of my eyesight?