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. 2016 Aug 18;16:296. doi: 10.1186/s12906-016-1283-x

Table 2.

Asthenopia questionnaire form modified from the original version proposed by Ames et al.

Symptom None Slight Moderate Severe
Tired eyes 0 1 2 3 4 5 6
Sore/aching eyes 0 1 2 3 4 5 6
Irritated eyes 0 1 2 3 4 5 6
Watery eyes 0 1 2 3 4 5 6
Dry eye 0 1 2 3 4 5 6
Eye strain 0 1 2 3 4 5 6
Hot/burning eyes 0 1 2 3 4 5 6
Blurred vision 0 1 2 3 4 5 6
Difficult focusing 0 1 2 3 4 5 6
Visual discomfort 0 1 2 3 4 5 6