SURVEY QUESTIONS
1. What continent are you from?
a. Africa
b. Asia
c. North /South America
d. Europe
e. Australia
2. What is your occupation?
a. Teacher or education related worker
b. Doctor or health related worker
c. Engineer or builders
d. Bankers/ accountants/ lawyers
e. Others e.g student
3. Do you read with dim light?
a. Always
b. Before
c. Often
d. Once in a month
e. Never
4. How close are you to an electronic gadget when using it?
a. Far
b. 5 feet
c. 3 palms
d. Close
e. Very close
5. Do you watch television or play a computer in darkness?
a. Always
b. Before
c. Often
d. Never
6. How often do you look at the sun?
a. Always
b. Before
c. Once a week
d. Never
7. How old are you?
a. Teenager 13-19
b. Youth 20-30
c. Adult 31-55
d. Elderly 56-100
8. What number of hours do you spend watching the television or computer?
a. 1 hour to 5 hours
b. 6 to 12 hours
c. 13 to 18 hours
d. 19 to 24 hours
e. Never
9. How many times do you eat carrot in a week?
a. Once or twice
b. Three or four times
c. Five or six times
d. Always
e. Never
10. How often do you chop onions or eat it raw?
a. Allergic
b. Always
c. Used to
d. Once in a while
e. Never
11. How often do you take liver [of any animal] in a week?
a. Allergic/ vegetarian
b. Always
c. Used to
d. Once in a while
e. Never
12. How much do you include spinach or broccoli leaf in your diet?
a. Allergic
b. Always
c. Used to
d. Once in a while
e. Never
13. How often do you strain your eyes?
a. Always
b. Used to
c. Often
d. Never
14. Do you exercise your eye?
a. Always
b. Used to
c. Often
d. Never
15. What is your eye prescription?