The EVsd Questionnaire

Health & Wellness
Are your eyes sensitive to the sun? Yes No
Do you want to help protect your eyes throughout your life? Yes No
Do you want to save on medical costs by helping to protect your eyesight from damaging sun at an early age? Yes No
Do you want added protection against UV & HEV light which may contribute to the development of cataracts and macular degeneration? Yes No
Do you smoke? (More susceptible to macular degeneration) Yes No
Are you exposed to secondhand smoke? Yes No
Do you have light colored eyes? (More apt to have sun exposure damage) Yes No
Do you wear soft contact lenses? (They let in more UV light) Yes No

Driving
Do you drive? Yes No
Does glare bother you anytime? Yes No
Do you have an East or West commute? Yes No

Sports & Leisure
Do you spend a lot of time outdoors? Yes No
Do you hike, golf, bike, ski, run, play sports, boat, or snowboard? Yes No
Are you going on vacation to a sunny place? Yes No
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