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CHILDREN STRABISMUS QUESTIONNAIRE Please fill out this questionnaire carefully. Please return it to our office prior to your appointment in the envelope provided. THANK YOU. PATIENT GENERAL INFORMATION
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How to fill out children s strabismus questionnaire

01
Step 1: Start by obtaining a copy of the children's strabismus questionnaire.
02
Step 2: Read through the questionnaire carefully to familiarize yourself with the different sections and questions.
03
Step 3: Begin by providing the child's personal information such as name, age, and date of birth.
04
Step 4: Proceed to answer the questions related to the child's medical history, including any previous eye surgeries or treatments.
05
Step 5: Move on to the section that focuses on the child's symptoms and experiences related to strabismus, such as eye misalignment or double vision.
06
Step 6: Take your time to answer all the questions accurately, providing as much detail as possible.
07
Step 7: If you are unsure about any question or require clarification, consult with a healthcare professional.
08
Step 8: Once you have completed filling out the questionnaire, review your answers to ensure they are clear and comprehensive.
09
Step 9: Submit the filled-out questionnaire to the appropriate healthcare provider or medical facility as instructed.
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Step 10: Keep a copy of the completed questionnaire for your records.

Who needs children s strabismus questionnaire?

01
Children who have been diagnosed with or are suspected to have strabismus.
02
Parents or guardians of children with strabismus.
03
Pediatric ophthalmologists or eye care professionals who are evaluating or treating children with strabismus.
04
Researchers or medical professionals conducting studies or collecting data on strabismus in children.
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Children's strabismus questionnaire is a survey designed to assess and gather information about eye alignment and vision issues in children.
Parents, caregivers, or healthcare providers of children who are suspected to have strabismus are required to fill out the questionnaire.
The questionnaire can be filled out online or in paper form. It includes questions about the child's eye alignment, vision symptoms, and medical history.
The purpose of the questionnaire is to help healthcare providers assess and diagnose strabismus in children early, allowing for timely treatment.
Information such as the child's eye alignment, vision symptoms, family history of eye conditions, and previous treatments must be reported on the questionnaire.
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