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. Author manuscript; available in PMC: 2011 Feb 1.
Published in final edited form as: Am J Ophthalmol. 2010 Feb;149(2):330–340. doi: 10.1016/j.ajo.2009.09.008

Table 1.

Nine-item National Eye Institute Visual Function Questionnaire (NEI-VFQ-9)

NEI-VFQ-9 Questionnaire
Q1. General vision (6-level)
At the present time, would you say your eyesight (with glasses or contact
lenses, if you wear them) is: 1) excellent, 2) good, 3) fair, 4) poor, 5) very poor,
or 6) are you completely blind?
Q2. Well being/mental health (5-level)
How much of the time do you worry about your eyesight? 1) None of the
time, 2) a little of time, 3) some of the time, 4) most of the time, or 5) all of the
time.
Q3. Near vision, reading normal newsprint (6-level)
How much difficulty do you have reading ordinary print in newspapers? 1)
No difficulty at all, 2) a little difficulty, 3) moderate difficulty, 4) extreme difficulty,
5) stopped doing because of your eyesight, or 6) stopped doing this for other
reasons or not interested in doing this.
Q4. Near vision, seeing well up close (6-level)
How much difficulty do you have doing work or hobbies that require you to
see well up close, such as cooking, sewing, fixing things around the house,
or using hand tools? 1) No difficulty at all, 2) a little difficulty, 3) moderate
difficulty, 4) extreme difficulty, 5) stopped doing because of your eyesight, or 6)
stopped doing this for other reasons or not interested in doing this.
Q5. Distance vision, going down stairs at night (6-level)
Because of your eyesight, how much difficulty do you have going down
steps, stairs, or curbs in dim light or at night? 1) No difficulty at all, 2) a little
difficulty, 3) moderate difficulty, 4) extreme difficulty, 5) stopped doing because of
your eyesight, or 6) stopped doing this for other reasons or not interested in
doing this.
Q6. Driving (6-level)*
How much difficulty do you have driving during the daytime in familiar
places? 1) No difficulty at all, 2) a little difficulty, 3) moderate difficulty, 4)
extreme difficulty, stopped doing because of your eyesight, or 5) stopped doing
this for other reasons or not interested in doing this.
Q7. Role limitation (5-level)
Are you limited in how long you can walk or do other activities such as
housework, child care, school, or community activities because of your
vision? 1) All of the time, 2) most of the time, 3) some of the time, 4) a little of
time, or 5) none of the time.
Q8. Peripheral vision (6-level)
Because of your eyesight, how much difficulty do you have noticing
objects off to the side while you are walking along? 1) No difficulty at all, 2) a
little difficulty, 3) moderate difficulty, 4) extreme difficulty, 5) stopped doing
because of your eyesight, or 6) stopped doing this for other reasons or not
interested in doing this.
Q9. Near vision, finding objects on a crowded shelf (6-level)
Because of your eyesight, how much difficulty do you have finding
something on a crowded shelf? 1) No difficulty at all, 2) a little difficulty, 3)
moderate difficulty, 4) extreme difficulty, 5) stopped doing because of your
eyesight, or 6) stopped doing this for other reasons or not interested in doing this.
*

For Q6, “not currently driving” was also an option, however, if selected, then the question was omitted and the remaining questions comprised the NEI-VFQ-8.