Is My Child at Risk? Take The Quiz Please enable JavaScript in your browser to complete this form.What is Your Child's Age? *56789101112131415161718192021Family History *One Parent is MyopicBoth Parents are MyopicNeither Parent is MyopicIs Your Child Currently Myopic? *YesNoDid their Rx change -.25 Diopter or more in the last two yearsYesNoSkip This Question if Your Child is Not MyopicDoes Your Child Spend 3 Hours or More Doing Near Tasks? (Reading, Studying, Writing, Games or Staring at Screen's) *YesNoDoes Your Child Spend Less than Six Hours a Week Outdoors? *YesNoName *FirstLastEmail *MessageSubmit
