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Br J Ophthalmol 89:621-627 doi:10.1136/bjo.2004.050732
  • Clinical science
    • Extended reports

The development of the Indian vision function questionnaire: field testing and psychometric evaluation

Table 6

 Indian vision function questionnaire (33 item)

In the first section, I am going to ask you how much your vision problem affects you in doing your daily activities. I will read out a choice of four answers and you will choose the one you feel describes you best. If you cannot do, or don’t do this activity because of vision, or other reasons, please tell me.
Question Number General functioning scale Please tick √response box
Not at all A little Quite a bit A lot Cannot do this because of my sight
1 Because of your vision how much problem do you have in climbing stairs?
2 Because of your vision how much problem do you have in making out the bumps and holes in the road when walking?
3 Because of your vision how much problem do you have in seeing if there are animals or vehicles when walking?
4 Because of your vision how much problem do you have in finding your way in new places?
5 Because of your vision how much problem do you have in going to social functions such as weddings?
6 Because of your vision how much problem do you have in going out at night?
7 Because of your vision how much problem do you have in finding your way indoors?
8 Because of your vision how much problem do you have in seeing the steps of the bus when climbing in or out?
9 Because of your vision how much problem do you have in recognising people from a distance?
10 Because of your vision how much problem do you have in recognising the face of a person standing near you?
11 Because of your vision how much problem do you have in locking or unlocking the door?
12 Because of your vision how much problem do you have in doing your usual work either in the house or outside?
13 Because of your vision how much problem do you have in doing your work up to your usual standard?
14 Because of your vision how much problem do you have in searching for things at home?
15 Because of your vision how much problem do you have in seeing outside in bright sunlight
16 Because of your vision how much problem do you have in seeing when coming into the house after being in the sunlight?
17 Because of your vision how much problem do you have in seeing differences in colours?
18 Because of your vision how much problem do you have in making out differences in coins or notes?
19 Because of your vision how much problem do you have in going to the toilet?
20 Because of your vision how much problem do you have in seeing objects that may have fallen in the food?
21 Because of your vision how much problem do you have in seeing the level in the container when pouring?
In the next section, I am going to ask you how you feel because of your eye problem, I will read out a choice of four answers and you will choose the one you feel describes you best.
Question Number Psychosocial impact scale Please tick √ response box
Not at all A little Quite a bit A lot
22 Because of your eye problem do you feel frightened to go out at night?
23 Because of your eye problem do you enjoy social functions less?
24 Because of your eye problem do you ashamed that you can’t see?
25 Because of your eye problem do you feel you have become a burden on others?
26 Because of your eye problem do you feel frightened that you may lose your remaining vision?
In the next section, I am going to ask you to what extent do you have the following eye problems. I will read out a choice of four answers and you will choose the one you feel describes you best.
Question Number Visual symptoms scale Please tick √ response box
Not at all A little Quite a bit A lot
27 Do you have reduced vision?
28 Are you dazzled in bright light?
29 Is your vision blurred in sunlight?
30 Does bright light hurt your eyes?
31 Do you close your eyes because of light from vehicles?
32 Does light seem like stars?
33 Do you have blurred vision?

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