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Survey into the lives of blind and partially sighted people

You are about to fill in a short survey which will help determine your suitability to this research project. Please be aware that all data you provide us with will be held in accordance with the data protection policy outlined on our website. For further information please visit https://www.healthcareopinions.co.uk/privacy-policy/

(This question is mandatory)
What is your name, contact number and email address?
(This question is mandatory)
Please tell us your age.
(This question is mandatory)
Are you...
(This question is mandatory)
Which region do you live in?
(This question is mandatory)
How would you describe your ethnic background?
(This question is mandatory)
Do you have any difficulty seeing, or wear glasses or contact lenses?
(This question is mandatory)
Do you wear glasses or contact lenses?
(This question is mandatory)
And do you wear glasses or contact lenses for...
Code all that apply
(This question is mandatory)
As far as you know, are you registered as severely sight impaired or sight impaired?
(This question is mandatory)
Do you generally have any difficulty seeing ordinary newsprint at arm’s length?
(This question is mandatory)
Do you generally have any difficulty clearly seeing the face of someone across a room – that is from 4 metres or 12 feet away?
(This question is mandatory)
Do you generally have any difficulty clearly seeing people or things in the periphery of your vision?
(This question is mandatory)
With glasses or contact lenses, do you generally have any difficulty seeing ordinary newsprint at arm’s length?
(This question is mandatory)
With glasses or contact lenses, do you generally have any difficulty clearly seeing the face of someone across a room – that is from 4 metres or 12 feet away?
(This question is mandatory)
With your glasses or contact lenses, do you generally have any difficulty clearly seeing people or things in the periphery of your vision?
(This question is mandatory)
Does your vision impairment legally prevent you from driving? It does not matter whether you have passed your test, we just want to know whether you are legally able to drive?