nm001
General information
Question text: | Have you noticed any new vision problems in the last six months? (please check all that apply) |
Answer type: | Check boxes |
Answer options: | 1 New flashes of light in your vision 2 New spots in front of your eye ("floaters") 3 New distortion of vision or blurry vision 4 New darkening or graying out of vision 5 New double vision 6 New glare or haloes 7 New droopy eyelid 8 Other, please specify: ~nm001_other 9 I have not noticed any new vision problems in the past 6 months 10 I don't know |
Label: | new vision problems in last six months |
Empty allowed: | One-time warning |
Error allowed: | Not allowed |
Multiple instances: | No |