Skip to main content
. 2012 Jun 6;12:409. doi: 10.1186/1471-2458-12-409

Table 1.

The detailed content of the questionnaire used in the current study

Category Questions Choice and appendix question
Data on demography and injury
Q1.name, gender,occupation, education
 
Q2.injury agent
 
Q3.where injury occurred
 
Q4.monocular or binocular injury
 
Q5.hospitalization or not
If yes, the accumulative time of hospitalization
Q6.operation or not
If yes, monocular or binocular? Single or multiple operations?
Expense on treatment
Q7.Total expense on medical treatment
 
 
Q8.The proportions of the expense on drug, examination, operation and hospitalization, and the nutrition and transportation respectively
 
 
Q9.The proportions of expense paid by the employer, insurance and patient himself respectively
 
Loss of income
Q10.The personal income per year of the patient before and after the injury
If reduced, the main reason?
Q11.The per capita income of the family per year before and after the injury
 
Q12.the time required for care from family members (hours per day)
 
The impact of the injury on the socio-economic status of the patients
Q13.Working or studying capacity
A:without difficulty, B:doing simple work or study, C: losing working or studying ability (being umployed or dropping out of school)
Q14.The ability to perform daily activities
A: without difficulty, B: being able to do simple activity such as eating and clothing, C: entirely losing ability to perform daily acitvity and need care and help from others
Q15.Emotional anxiety or depression
A:without anxiety or depression, B: anxious or depressive somewhat, C: extremely anxious or depressive
Q16.The negative impact on the education of victims' children (if they had)
A: without negative impact, B: to some extent, C: very serious
Q17.The impact on the relationship between family members
A: no change,B: indifference, C: be discriminated, D: be discarded
  Q18.The attitude of whole society towards them after injury A: giving care and concern, B: indifferent, C: generally be discriminated, D: other