New Quiz Please Note: We will not sell or otherwise use information on this form except in addressing your inquiry. (*) indicates a required field.Select Your SymptomSelect an OptionReading/LearningHeadachesDizzinessPost ConcussionGeneralIs this quiz for you or your child?My ChildMyself Reading QuizDo you skip lines and lose your place when reading? Yes No Do you have to frequently re-read things? Yes No Do you have trouble retaining what you’ve read? Yes No Does your mind wander when reading? Yes No If you answered YES to any of the questions above, book an appointment with us. You can also check out our online reviews, videos, and our vision therapy before and after images to see how much of a change you can achieve in a few months. Does your child have difficulty recognizing words just learned? Yes No Does your child have difficulty spelling? Yes No Does your child make letter reversals? Yes No Ex: b for d, p for q.Is writing messy with uneven sizes, spacing, or difficulty staying on the line? Yes No Headaches & Migraines QuizDo your headaches/migraines get triggered by reading or computer time. Yes No Are you sensitive to lighting (fluorescent)? Yes No Will busy stores trigger headaches or migraines? Yes No Look at this image. Does this feel like it will trigger a headache or migraine? Yes No Dizziness QuizShake your head ‘no’. Does it make you dizzy? Yes No Now focus on it while moving it in towards your nose. Does it make you dizzy? Yes No Look at this image. Does it make you dizzy? Yes No Post Concussion QuizDo you get light sensitivity? Yes No Do computer screens trigger symptoms? Yes No Do your symptoms increase in busy places? Yes No Do you experience difficulty with reading, attention, or retaining information? Yes No Does this pattern bother you to look at? Yes No General Vision Comfort QuizDo you get eye strain? Yes No Do you have light sensitivity? Yes No Do you have difficulty keeping focus on reading or computer work? Yes No Do you frequently have to re-read things? Yes No Do you get headaches or migraines? Yes No Does this pattern bother you to look at? Yes No Since you answered YES to just one of the questions above, book an appointment with us. You can also check out our online reviews, videos, and our vision therapy before and after images to see how much of a change children can achieve in a few months.We still recommend you book an appointment with us. An eye exam provides a comprehensive overview of the visual system far beyond a basic quiz. You can also check out our online reviews, videos, and our vision therapy before and after images to see how much of a change can be achieved.Since you answered YES to just one of the questions above, book an appointment with us. You can also check out our online reviews, videos, and our vision therapy before and after images to see how much of a change you can achieve in a few months.While you didn't indicate to us that you had any problems, if you're interested in how we can help you get the most out of your visual skills, book an appointment with us. Very often, we'll be able to help our patients with their prescription and even become faster readers. You can also check out our online reviews, videos, and our vision therapy before and after images to see how much of a change you can achieve in a few months.Comment SectionIf you want to tell us more about you symptoms, or if you have specific questions, record them here:Please help us help others by using this box to be very specific about how you found usPlease tell us how you found us?* Internet Search Referred by a friend Referred by a professional Found us in a forum, blog or social media HiddenCan you share more? 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