Special Links
  • Contact PEDIG@jaeb.org if interested in the Jaeb Visual Acuity Screener - JVAS.

PEDIG Forms / Questionnaires

Amblyopia Treatment Index - a quality of life questionnaire to assess the impact of atropine or patching treatment on child and family

 

Nasolacrimal Duct Obstruction - a symptom survey and quality of life questionnaire for Nasolacrimal Duct Obstruction in Children

 

 

Intermittent Exotropia Questionnaire (IXTQ) - 3 questionnaires- one for the child, one for the parent about the child (proxy), and one for the parent about themselves.

     
  • IXT Symptom Survey 
  1. IXT Symptom Survey
  2. IXT Symptom Survey, Spanish
  3. IXT Symptom Matching Cards
  4. IXT Symptom Matching Cards, Spanish
  5. IXT Symptom Survey Rasch Lookup

    Pediatric Eye Questionnaires (PedEyeQ)

    Pediatric Eye Questionnaire for Children Ages 0-4 Years

     

    Pediatric Eye Questionnaire for Children Ages 5-11 Years 

     

    Pediatric Eye Questionnaire for Children Ages 12-17 Years