Domain | Item synopsis |
---|---|
Eye care utilization | When was the last time you had an eye exam in which your pupils were dilated? |
Trouble seeing | Do you have any trouble seeing, even when wearing glasses or contact lenses? |
(Yes/no) | |
Visual task difficulty | Because of your eyesight: |
How much difficulty do you have reading ordinary print in newspapers? | |
How much difficulty do you have going down steps, stairs, or curbs in dim light or at night? | |
How much difficulty do you have finding something on a crowded shelf? | |
(Difficulty scale)a | |
Accessibility/transportation | How much difficulty did you have finding a way to get here? (Difficulty scale)a |
I’m more likely to go to the eye doctor if the doctor’s office is near a place I shop | |
(Agree/disagree scale)b | |
Review of chronic medical conditions | Have you ever been told by a doctor or other health professional that you have . . .? (Yes/no) |
Attitudes about eye care | It is important to go to the eye doctor at least once every 2Â years. |
There is no need to go to the eye doctor if you’re not having a problem with your eyes. | |
(Agree/disagree scale)b | |
Knowledge about glaucoma | A person can have glaucoma and not know it. |
Glaucoma can be controlled. | |
Vision lost from glaucoma can be restored. | |
A complete glaucoma exam consists only of measuring eye pressure. | |
People at risk for glaucoma should have an eye examination through dilated pupils. | |
(True/false) | |
Cost | Is the cost of an eye exam a problem for you? |
Is the cost of buying eyeglasses a problem for you? | |
If the doctor prescribed eye drops for you in order to treat an eye problem you have, would the cost of prescription eye drops be a problem for you? | |
(Problem Scale)c | |
Education completed | How many years of school did you complete? |