Polling Form (#4)
Full Name
Email
What is your age group?
Less than 40
40-55
55 and above
Do you have any of the following conditions?
Cataract
Age related Macular Degradation
Dry Eye
Blurry Vision
Glaucoma
Others
I don't have any vision condition
How would you describe your current sight?
Yes, it's a big problem for me
Only sometimes
Not Really
How would you describe your current sight?
Great, No Issues.
Pretty Good, I don't have any issues
Not amazing, it's been worsening a lot lately
Pretty Bad
Do you eat plenty of the following foods (carrots, citrus, spinach, nuts, seeds, fish, berries)?
Iconsume some of them daily
Only at times
Not Really
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