This is not a do-it-yourself test to see if you need help with vision or learning training and therapy. It is a comprehensive questionnaire to assist in guiding your discussion with Dr. Boulet. If you feel your or your child might be having trouble with reading or learning, you should fill it out and call us for a consultation.
Download and print this document. You should try to answer as many questions as you can. Not all questions/items will apply to all cases, so skip the elements that do not relate to you. Use the back sides of the sheets to add additional comments.
Contact Us to make an appointment. Bring the completed survey with you. We prefer to do initial consultations with parents alone. The consultation usually follows a general health, eye health, and visual function examination.