Sr No Questions Never Rarely Sometimes Frequently Always

1 I worry about what people will think about my eyes 14 12 24

2 I feel that people are thinking about my eyes even when they don’t say anything 7 12 19 12
3 I feel uncomfortable when people are looking at me because of my eyes 20 9 7 14
4 I wonder what people are thinking when they are looking at me because of my eyes 8 8 34
5 People don’t give me opportunities because of my eyes 18 11 7 14
6 I am self-conscious about my eyes 15 35
7 People avoid looking at me because of my eyes 18 11 7 14
8 I feel inferior to others because of my eyes 8 4 4 4 30
9 People react differently to me because of my eyes 20 9 7 14
10 I find it hard to initiate contact with people I don’t know because of my eyes 28 8 14
11 I cover or close one eye to see things better 37 13
12 I avoid reading because of my eyes 10 7 9 24
13 I stop doing things because my eyes make it difficult to concentrate 26 7 9 8
14 I have problems with depth perception 32 8 10
15 My eyes feel strained 39 11
16 I have problems reading because of my eye condition 28 8 14
17 I feel stressed because of my eyes 22 14 14
18 I worry about my eyes 8 5 5 12 20
19 I can’t enjoy my hobbies because of my eyes 28 8 7 7
20 I need to take frequent breaks when reading because of my eyes 39 11
Emotional and Psychological Effects (8 questions) Never
I worry about what people will think about my eyes
I feel that people are thinking about my eyes even when they don’t say anything
I feel uncomfortable when people are looking at me because of my eyes
I wonder what people are thinking when they are looking at me because of my eyes
I am self-conscious about my eyes
I feel inferior to others because of my eyes
I feel stressed because of my eyes
I worry about my eyes

Avg 9.85

Functional Limitations (7 questions) Never

I cover or close one eye to see things better
I avoid reading because of my eyes
I stop doing things because my eyes make it difficult to concentrate
I have problems with depth perception
My eyes feel strained
I have problems reading because of my eye condition
I need to take frequent breaks when reading because of my eyes

Avg 30.1

Social Implications (5 questions) Never

People don’t give me opportunities because of my eyes
People avoid looking at me because of my eyes
People react differently to me because of my eyes
I find it hard to initiate contact with people I don’t know because of my eyes
I can’t enjoy my hobbies because of my eyes

Avg 22.4
Rarely Sometimes Frequently Always
Chart Title
25

Emotional and Psychological Effects

20

15

9.85 10.5
10

5 3.75 4.5

3.75 10.5 4.5 21

0
Never Rarely Sometimes Frequently

Rarely Sometimes Frequently Always

Chart Title
35
30.1
Functional Limitations 30

25

20

15

4.7 5.7 1.2 8.1 10

4.7 5.7
5
1.2
0
Rarely Sometimes Frequently Always Never Rarely Sometimes Frequently

Chart Title
25
22.4

20
Social Implications

2.2 8.6 4.2 12.6

15

10 8.6

5 4.2
2.2

0
Never Rarely Sometimes Frequently
Title

21

10.5

4.5

Sometimes Frequently Always

Title

8.1
5.7

1.2

ometimes Frequently Always

Title

12.6

8.6

4.2

ometimes Frequently Always

never 10
rarely 4
sometimes 11
frequently 4
always 21

Chart Title
25
21
never 30 20
rarely 5
15
sometimes 6 10 11
frequently 1 10
5 4 4
always 8
0
never rarely sometimes frequently always
35
30
30
never 22
rarely 2 25
sometimes 9
frequently 4 20
always 13
15

10
5
5

0
never rarely s
 Chart Title
25
22

20

15
13

10 9

5 4
2

35 0
never rarely sometimes frequently always
30
30

25

20

15

10 8
6
5
5
1
0
never rarely sometimes frequently always
 1 2 3 4 5 6 7 8 9 10 11
I feel that people are
I worry about what I feel uncomfortable when people I wonder what people are People don’t give me People avoid looking I feel inferior to I find it hard to initiate I cover or close one
thinking about my eyes even I am self-conscious People react differently to me
Patient No. people will think about are looking at me because of my thinking when they are looking opportunities because of at me because of my others because of contact with people I don’t eye to see things
when they don’t say about my eyes because of my eyes
my eyes eyes at me because of my eyes my eyes eyes my eyes know because of my eyes better
anything
1 Always Never Always Never Always Never Never Never Never Never Always
2 Always Never Never Always Never Always sometimes Always Always Always Never
3 Always Sometimes Never Always Never Always Always Always Always Always Never
4 Always Never Never Always Never Always Always Always Always Always Never
5 Always Sometimes Never Always Never Always Always Always Always Always Never
6 Always Never Never Sometimes Never Always Always Always Always Always Never
7 Always Never Never Sometimes Never Always Always Always Always Always Never
8 Always Sometimes Never Sometimes Never Always Always Always Always Always Never
9 Always Sometimes Never Sometimes Never Always Always Always Always Always Never
10 Always Sometimes Never Sometimes Never Always Always Always Always Always Never
11 Always Sometimes Never Sometimes Never Always Always Always Always Always Never
12 Always Sometimes Never Sometimes Never Always Always Always Always Always Never
13 Always Sometimes Never Sometimes Never Always Always Always Always Always Never
14 Never Sometimes Often Sometimes Sometimes Sometimes Never Never Never Never Sometimes
15 Never Sometimes Always often Sometimes Sometimes Never Never Never Never Sometimes
16 Never Sometimes Always often Sometimes Sometimes Never Never Never Never Sometimes
17 Never Sometimes Always often Sometimes Sometimes Never Never Never Never Sometimes
18 Never Sometimes Always often Sometimes Sometimes Never Never Never Never Sometimes
19 Never Sometimes Always often Sometimes Sometimes Never Never Never Never Sometimes
20 Never Rarely Always often Sometimes Sometimes Never Never Never Never Sometimes
21 Never Rarely Always Always Sometimes Sometimes Never Never Never Never Sometimes
22 Never Rarely Always Always Sometimes Sometimes Never Sometimes Never Never Sometimes
23 Never Rarely Always Always Sometimes Sometimes Never Rarely Never Never Sometimes
24 Never Rarely Always Always Often Sometimes Never Rarely Never Never Sometimes
25 Never Rarely Always Always Often Sometimes Never Rarely Never Never Sometimes
26 Never Sometimes Always Always Often Sometimes Never Sometimes Never Never Never
27 Sometimes Rarely Sometimes Always Often Sometimes Never Sometimes Never Never Never
28 Sometimes Rarely Sometimes Always Often Always Never Sometimes Never Never Never
29 Sometimes Rarely Sometimes Always Often Always Never Sometimes Never Never Never
30 Sometimes Rarely Sometimes Always Often Always Never Often Never Never Never
31 Sometimes Sometimes Sometimes Always Always Always Never Often Never Never Never
32 Sometimes Rarely Sometimes Always Always Always Rarely Often Never Never Never
33 Sometimes Often Sometimes Always Always Always Rarely Often Sometimes Never Never
34 Sometimes Often Rarely Always Always Always Rarely Always Sometimes Never Never
35 Sometimes Often Rarely Always Always Always Rarely Always Sometimes Never Never
36 Sometimes Often Rarely Always Always Always Rarely Always Sometimes Never Never
37 Sometimes Often Rarely Always Always Always Rarely Always Sometimes Never Never
38 Sometimes Often Rarely Always Always Always Rarely Always Sometimes Never Never
39 Always Often Rarely Always Always Always Rarely Always Sometimes Never Never
40 Always Often Rarely Always Always Always Rarely Always Sometimes Never Never
41 Always Often Rarely Always Always Always Rarely Always Sometimes Sometimes Never
42 Always Often Rarely Always Always Always Rarely Always Often Sometimes Never
43 Always Never Rarely Always Always Always Rarely Always Often Sometimes Never
44 Always Sometimes Never Always Always Always sometimes Always Often Sometimes Never
45 Always Often Never Always Never Always sometimes Always Often Sometimes Never
46 Never Sometimes Always often Sometimes Rarely Often Always Never Never Sometimes
47 Always Often Never Always Never Always sometimes Never Often Sometimes Never
48 Always Sometimes Never Always Never Always sometimes Always Often Sometimes Never
49 Always Sometimes Never Always Never Always sometimes Always Often Sometimes Never
50 Always Often Never Always Never Always sometimes Always Always Always Never
 12 13 14 15 16 17 18 19 20

I stop doing things because my I have problems I can’t enjoy my I need to take frequent
I avoid reading I have problems with I feel stressed I worry about my
eyes make it difficult to My eyes feel strained reading because of hobbies because of breaks when reading
because of my eyes depth perception because of my eyes eyes
concentrate my eye condition my eyes because of my eyes

Never Always Always Always Always Never Always Often Never

Always Never Never Never Never Always Often Often Never
Always Never Never Never Never Always Often Often Never
Always Never Never Never Never Always Often Often Never
Always Never Never Never Never Always Often Often Never
Always Never Never Never Never Always Often Often Never
Always Never Never Never Never Always Often Always Never
Always Never Never Never Never Always Often Always Never
Always Never Never Never Never Always Often Always Never
Always Never Never Never Never Always Often Always Never
Always Never Never Never Never Always Often Always Never
Always Never Never Never Never Always Often Always Never
Always Never Never Never Never Always Often Always Never
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Sometimes Often Sometimes Always Sometimes Sometimes Always Always Rarely
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Never Often Sometimes Always Never Sometimes Always Never Rarely
Never Always Sometimes Always Never Sometimes Always Never Rarely
Never Always Sometimes Always Never Sometimes Always Never Rarely
Never Always Rarely Never Never Sometimes Always Never Never
Never Always Rarely Never Never Sometimes Always Never Never
Never Always Rarely Never Never Sometimes Always Never Never
Never Always Rarely Never Never Never Always Never Never
Never Always Rarely Never Never Never Always Never Never
Never Always Rarely Never Never Never Always Never Never
Never Rarely Rarely Never Never Never Always Never Never
Never Rarely Never Never Never Never Always Never Never
Rarely Rarely Never Never Never Never Always Never Never
Rarely Rarely Never Never Always Never Sometimes Never Never
Rarely Rarely Never Never Always Never Sometimes Never Never
Rarely Rarely Never Never Always Never Sometimes Never Never
Rarely Rarely Never Never Always Never Sometimes Never Never
Rarely Never Never Never Always Never Sometimes Never Never
Rarely Never Never Never Always Never Rarely Never Never
Always Never Never Never Always Never Rarely Never Never
Always Never Never Never Always Never Rarely Never Never
Always Never Never Never Always Never Rarely Sometimes never
Always Never Never Never Always Never Rarely Sometimes Never
Always Never Never Never Always Never Never Sometimes Never
Always Never Never Never Always Never Never Sometimes Never
Always Never Never Never Always Never Never Sometimes Never
Sometimes Often Sometimes Always Sometimes Sometimes Always Never Rarely
Always Never Never Never Always Never Never Sometimes Never
Always Never Never Never Never Never Never Sometimes Never
Always Never Never Never Never Never Never Sometimes Never
Always Never Never Never Never Always Never Often Never
 1 2

I worry about what people will think about I feel that people are thinking about my eyes
my eyes even when they don’t say anything

never 28% 14 never 12% 6

rarely 0 rarely 22% 11
sometimes 24% 12 sometimes 40% 20
often 0 often 26% 13
always 48% 24 always 0% 0
 3 4 5
I wonder what people are People don’t give me
I feel uncomfortable when people are
thinking when they are looking opportunities because of
looking at me because of my eyes
at me because of my eyes eyes
never 36% 18 never 2% 1 never
rarely 20% 10 rarely 0 0 rarely
sometimes 14% 7 sometimes 18% 9 sometimes
often 2% 1 often 14% 7 often
always 28% 14 always 66% 33 always
 5 6 7
People don’t give me
I am self-conscious about my People avoid looking at me
opportunities because of my
eyes because of my eyes
eyes
34% 17 never 2% 1 never 38% 19
0 0 rarely 2% 1 rarely 24% 12
22% 11 sometimes 28% 14 sometimes 14% 7
14% 7 often 0 0 often 2% 1
30% 15 always 68% 34 always 22% 11
 8 9 10
I find it hard to initiate co
I feel inferior to others because People react differently to me
with people I don’t kno
of my eyes because of my eyes
because of my eyes
never 20% 10 never 42% 21 never
rarely 6% 3 rarely 0 rarely
sometimes 10% 5 sometimes 18% 9 sometimes
often 8% 4 often 14% 7 often
always 56% 28 always 26% 13 always
 10 11 12
I find it hard to initiate contact
I cover or close one eye to see I avoid reading because of my
with people I don’t know
things better eyes
because of my eyes
58% 29 never 72% 36 never 24% 12
rarely rarely 14% 7
16% 8 sometimes 26% 13 sometimes 16% 8
often often
26% 13 always 2% 1 always 46% 23
 13 14

I stop doing things because my eyes I have problems with depth

make it difficult to concentrate perception

never 50% 25 never 62% 31

rarely 14% 7 rarely 14% 7
sometimes sometimes 22% 11
often 18% 9 often
always 18% 9 always 2% 1

My eyes feel strained

80%

70%

60%

50%

40%

30%

20%

10%

0%
never rarely sometimes often always
 15 16

I have problems reading because of

My eyes feel strained
my eye condition

never 76% 38 never 54% 27

rarely 0 rarely
sometimes 0 sometimes 16% 8
often 0 often
always 24% 12 always 30% 15

always
 17 18 19

I can’t enjoy my hobbies

I feel stressed because of my eyes I worry about my eyes
because of my eyes

never 46% 23 never 14% 7 never

rarely rarely 10% 5 rarely
sometimes 28% 14 sometimes 10% 5 sometimes
often often 24% 12 often
always 26% 13 always 42% 21 always

I can’t enjoy my hobbies because of my eyes

60%

50%

40%

30%

20%

10%

0%
never rarely sometimes often always
 19 20
I need to take frequent breaks
I can’t enjoy my hobbies
when reading because of my
because of my eyes
eyes
54% 27 never 78% 39
rarely 22% 11
16% 8 sometimes
14% 7 often
16% 8 always