Welcome to your EyeQ Assessment. We are going to evaluate your situation based on a couple of questions. Please click next to start your EyeQ Assessment. Full Name Phone Number 1. What is your age?Less than 20 years old20 - 29 years old30 - 39 years old40 - 49 years old50 - 59 years old60 - 69 years oldMore than 70 years old 2. Do you use more than 1 device simultaneously?NoYes, I use 2 devices simultaneouslyYes, I use more than 2 devices simultaneously 3. How far do you view your reading material(s)? (e.g. books, handphones, tablets)Less than 30 cm30-50 cm51-70 cm71-90 cm 4. What feature(s) are in your spectacles?UV multi coatBlue-light filterTransitionsNone of the above 5. How many hours do you spend on digital devices (e.g. computer, laptop, tablet, handphone) per day?less than 3 hours3 - 5 hours6 -7 hours8 - 10 hoursMore than 10 hours 6. Do you use your device(s) in the dark before you sleep?NeverSeldom (2-3 times per week)Sometimes (4-5 times per week)Always 7. When was your last eye health check with an eye doctor?Never had oneWithin the last 6 monthsWithin the last 1 yearWithin the last 2 yearsMore than 2 years 8. Do you experience dry eyes? (e.g. teary eyes, stinging/scratchy/burning sensation, periodic blurring of vision)YesNo 9. How frequent do you take visual breaks?NeverEvery half an hourEvery hourEvery two hoursEvery three hours 10. In the last 3 months, have you had any of the following: Periodic blurring of vision Having trouble with refocusing between distance and near Eye strain Dryness Sensitivity to bright lights Headaches None of the above 11. How often do you rub your eyes due to irritation or itchiness?NeverSometimesDaily 12. Do you wear soft contact lenses?YesNo 13. NOTE: Please answer only the next 4 questions, if you replied YES to the previous question: Do you wear soft contact lenses?What modality of contact lenses are you using?Daily lensesBiweekly lensesMonthly lensesOthers (3 monthly/6 monthly/Yearly lenses) 14. How often do you wear your contact lenses?Special occasions only1 - 3 times per week4 -5 times per weekEveryday 15. Do you do any of the following: Sleep/Nap with contact lenses Swim with contact lenses Bathe with contact lenses Wash contact lenses with tap water None of the above 16. Do you experience any of the following while wearing contact lenses: Dryness Discomfort Pain Decrease tolerance to contact lenses wear Blurred vision Itchiness None of the Above Time is Up!