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Call us at 509-654-9256 - Fax: 509-834-7400

information@wavtc.com
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Washington Vision Therapy Center Washington Vision Therapy Center
  • Home
  • Our Team
  • Services
    • Vision Therapy Services
    • Eye Exams
    • About Vision Therapy
      • About Vision Therapy
      • Conditions We Treat
    • Contact Lenses
  • FAQ
  • Blog
    • Testimonials
  • Location
  • Schedule Exam

Self Assessment

Home Self Assessment

Welcome to your Self Assessment

Please answer the following questions about how your eyes feel when reading or doing close work. This survey is not a substitute for consulting a physician, and does not provide diagnoses.

 

Choose as follows: 0 = Never, 1 = Infrequently, 2 = Sometimes, 3 = Fairly Often, 4 = Always

Do your eyes feel tired when reading or doing close work?

Do your eyes feel uncomfortable when reading or doing close work?

Do you have headaches when reading or doing close work?

Do you feel sleepy when reading or doing close work?

Do you lose concentration when reading or doing close work?

Do you have trouble remembering what you read?

Do you have double vision when reading or doing close work?

Do you see the words move, jump, swim, or appear to float on the page?

Do your eyes feel like you read slowly?

Do your eyes ever hurt when reading or doing close work?

Do your eyes ever feel sore when reading or doing close work?

Do you feel a pulling feeling around your eyes when reading or doing close work?

Do you notice the words blurring or coming in and out of focus when reading or doing close work?

Do you lose your place while reading or doing close work?

Do you have to reread the same line of words when reading?

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Recent Posts

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  • Vision Therapy in Kennewick: How Vision Therapy Improves School Performance

Let's get in touch

Send us an email and we'll get back to you as soon as possible.

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About us

Do you or your child need vision therapy or a general eye checkup? Washington Vision Therapy Center can help treat your functional vision problems. We offer general optometry as well as vision therapy treatment, which helps deal with and correct developmental issues with a person's vision. While children are our most common patients, we frequently treat adults as well. It is never too late to improve the function of the visual system.
  • 509-654-9256
  • Fax: 509-834-7400
  • information@wavtc.com

Visit Us

  • 7203 W. Deschutes Ave. Suite B Kennewick, WA 99336

Fresh from our blog

  • A Game-Changer for TBIs and Concussions
  • Squint No More: How Vision Therapy Can Transform Your Visual Experience
  • Conquer Strabismus with Vision Therapy!
  • Tired Eyes? It Could Be Convergence Insufficiency!

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