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Screening Tool/ Questionnaire Orthotic Sold Clinic Pupil name Date of birth Pupil address School Referrer/SEN Co Scale Please write a number on each line according to the scale 0 very mild / never
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How to fill out screening tool questionnaire orthoptic

Illustration
01
The screening tool questionnaire orthoptic is typically used by eye care professionals, such as orthoptists or optometrists.
02
The questionnaire is designed to assess various visual functions, including binocular vision, eye movements, and depth perception.
03
To fill out the questionnaire, start by providing basic information such as your name, age, and contact information.
04
Then, carefully read each question and select the appropriate response. Make sure to answer honestly and to the best of your ability.
05
Some questions may require you to perform certain tasks or activities, such as tracking moving objects or identifying colors.
06
Take your time to complete the questionnaire and do not rush through the process. It is important to provide accurate and detailed information.
07
Once you have finished filling out the questionnaire, review your answers to ensure they are complete and accurate.
08
If you have any doubts or concerns about a particular question, don't hesitate to ask the orthoptist or optometrist for clarification.
09
The screening tool questionnaire orthoptic is important for identifying any potential vision problems or abnormalities that may require further evaluation or treatment.
10
By participating in this screening, you are taking an active role in your eye health and ensuring proper vision care.
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The screening tool questionnaire orthoptic is a tool used to assess visual function and detect potential eye problems.
All individuals who are undergoing an orthoptic screening are required to fill out the questionnaire.
The questionnaire can be filled out by providing accurate information about visual symptoms and any eye conditions.
The purpose of the screening tool questionnaire orthoptic is to help detect any visual issues that may require further evaluation or treatment.
Information such as visual symptoms, eye conditions, and any family history of eye problems must be reported on the questionnaire.
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