Myopia Survey

Does your child currently have a prescription for eyeglasses or contact lenses?

How many bilogical parents have myopia

Environmental and Lifestyle Factors:

How close does your child hold reading materials or screen?
On average, how many hours per week does your child spend outdoors?

Could your child have a Vitamin D deficiancy?

School and Performance Intensity

Please describe the intensity of your child's school performance and any additional activities (e.g. extra tuition classes, high academic expectations)


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