My Survey
1) What is your sex? Female Male
2)What is your age? (eg. 20)
3)Are you nearsighted? Yes No
If yes, at what age did you start wearing glasses?
4)Are your parents nearsighted?
One of them Both Neither
5)Do you read newspapers everyday? Yes No
6)How many hours per week do you spend studying? --please select-- <5hrs 5-10hrs 10-15hrs 15-20hrs >20hrs
7)How many hours per week do you spend watching TV? --please select-- <5hrs 5-10hrs 10-15hrs 15-20hrs >20hrs
8)How often do you watch movie in the movie theatre? --please select-- never 1-3 times per month 4-6 times per month >6 times per month
9)What time do you usually go to bed? --please select-- Before 10:00pm 10:00pm-11:00pm 11:00pm-12:00am 12:00am-1:00am 1:00am-2:00am After 2:00am
10)What reading posture do you prefer?
Sitting at a desk Standing Lying on your tummy Lying on your back
11)How many hours per week do you spend using computer? --please select-- <5hrs 5-10hrs 10-15hrs 15-20hrs >20hrs
12)How many hours per week do you spend playing video games? --please select-- <5hrs 5-10hrs 10-15hrs 15-20hrs >20hrs
13)What is the type of lighting that is being used for your studying?
Fluorescence Halogen Candle light Incandescent light
14)What is your nationality?
15)What time do you usually start studying?
Morning Afternoon Evening Night Late at night
16)On a sunny day, do you wear sunglasses when you drive?
Yes No Sometimes
17)What is your name? (optional)
18)What is your e-mail address? ( optional)
