Childhood Myopia Survey

1. What is your child's age?

2. Has your child been diagnosed with nearsightedness (myopia)?

3. If yes, at what age did your child become nearsighted?(only answer if Q2 = Yes)

4. Has your child’s prescription changed at recent check-ups?

5. What is your child’s ethnicity?

6. How many of your child’s parents are nearsighted?

7. How many hours per day does your child spend on close-up activities? (e.g., reading, writing, screen time)