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#2 2802 15 Avenue Street Wainwright, AB T9W 0A4 7808426123 Fax: 7808423443CHILDRENS VISION QUESTIONNAIRE EXTENDED Please fill out this questionnaire carefully. Please return it to our office at your
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01
Review the questions and instructions provided in the children's vision questionnaire- extended.
02
Ensure you have the necessary information about the child's vision history, any symptoms or issues they may be experiencing, and previous eye exams.
03
Fill out the questionnaire accurately and to the best of your knowledge, providing detailed responses where requested.
04
Double-check your answers before submitting the questionnaire to ensure all information is complete and accurate.

Who needs childrens vision questionnaire- extended?

01
Parents or guardians of young children who want to assess their child's vision health.
02
Teachers or caregivers who notice potential vision issues in young children and want to gather more information.
03
Eye care professionals who are conducting vision screenings or exams for children and need additional information about the child's vision history.
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The childrens vision questionnaire- extended is a form designed to assess and record the vision status of children.
Parents or guardians of children are typically required to file the childrens vision questionnaire- extended.
The childrens vision questionnaire- extended can be filled out by providing information about the child's vision history and any known vision issues.
The purpose of the childrens vision questionnaire- extended is to monitor and address any potential vision problems in children.
Information such as family history of vision problems, any prior vision screenings, and current vision complaints must be reported on the childrens vision questionnaire- extended.
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