Appendix II.

Questionnaires Administered in the Chinese American Eye Study

Sections	Questions
In-home
A. Eye Service Use and Ocular Disease History	Glasses/contact lenses use, eye service use, history and family history of cataracts and cataract surgery, history and family history of glaucoma and glaucoma care, history and family history of macular degeneration and care, history and family history of diabetes and diabetes care
B. General health	History of arthritis, stroke, high blood pressure, angina, heart condition/disease, heart failure or enlarged heart, asthma, skin or other type of cancer, back problems, deafness or trouble hearing, depression, hypercholesterolemia, thyroid condition and other major health problem
C. Medications	History of use of birth control pills, women's health, female hormones, steroids, anti-inflammatory drugs, statins
D. General health service use	Health service use , barriers of health care
E. Insurance	Health insurance status, vision insurance status
F. Tobacco/alcohol	History of tobacco and alcohol usage.
G. Acculturation	Cultural identity
H. Demographics	Ethnic background, parents’ names and languages, grandparents’ ethnic background, marital status, educational level, occupation, household income
I. Montreal Cognitive Assessment (MOCA)	Cognitive ability
J. Future contact	Future contact information.
In-clinic
A. Health-related quality of life	Short Form 12-item Health Status Questionnaire, self-rating of current health status, health-related quality of life
B. General Vision status	NEI-VFQ-25, self-rating of current vision-related function.
C. Falls and fractures	History of falls
D. Physical activity	Frequency of physical activity

* NEI-VFQ = National Eye Institute Visual Functioning Questionnaire.