For each statement below, move the slider to match your level of agreement
What eye problems do you have (tick all that apply)
Question 4I feel exhausted and worn out at the end of the day.
Question 5I feel stressed most of the time.
Question 6I never have time for myself or to pursue the things I value in life.
Question 7How many times do you eat fast food per week?
Question 8How many serves of organic fruit and vegetable do you eat per day?
Question 9I'm on one or more of the following medications: (Anti-depressants, insulin, cortisol, steroids, hormone replacement, birth control)
Question 10How many times do you participate in movement exercises like yoga, tai chi or qigong per week?
Question 11I am overweight.
Question 12I slouch a lot and don't have good posture.
Question 13I had an emotionally challenging childhood.
Question 14I am shy and insecure.
Question 15I have low self-esteem.
Question 16What's your age?
Question 17For how long do you have your eye problems?
Question 18Did you ever do eye surgery before?
Question 19What's your gender?
Question 20I have a lot of stress in my life (physical, mental, and/or emotional).
Question 21Do you have any of the following?
Question 1I'm unsure of my future.
Question 2I believe my eye problems are genetic because it runs in the family.
Question 3I work a lot in front of the computer, and think that's why I have eye problems.
Question 1I'm scared I'm getting old.
Question 2I believe that everybody gets eye problems at a certain age.
Question 3I'm getting older, so my eyes are just wearing out.
Question 2I'm scared I'm getting old.
Question 3I'm working too much in front of the computer, so my eyes are wearing out.
Question 1I'm don't like myself very much.
Question 2I believe I could look better and be more beautiful.
Question 3Not everybody can be beautiful.
Question 1I'm overwhelmed by life.
Question 2Others hurt me a lot in life.
Question 3Other people are mean and it's hard for me to deal with that.
Question 1My future looks pretty dark.
Question 2Life is not very joyful.
Question 3Others took all my joy.
Question 2I can't get myself to do a lot of things.
Question 3I try not to look too deeply into things.