Macular Degeneration Guide – Living Well With Low Vision

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Caregivers
Patients
Healthcare Professionals
- Guide

Macular Degeneration0 of 21 completed

1: Do you live in the United States?
YesNo
2: Do you live alone?
YesNo
3: Are you employed either full or part time?
YesNo
4: Are you currently a student?
YesNo
5: Is there someone whom you consider to be your caregiver?
YesNo
6: Are you an active member of a support group, church, retirement community or other opportunity to be with others?
YesNo
7: How are you doing financially?
8: What is your current transportation status?
9: How often do you engage in activities outside of the home (traveling, volunteering, participating in or attending events, etc.)?
10: Do you have one or more chronic conditions other than AMD?
YesNo

12: What kind of macular degeneration do you have? (This is very important, so if you aren’t sure, please call your clinic.)
13: Is your condition bilateral (both eyes) or unilateral (one eye)?
14: Do you wear either prescription glasses or contacts?
YesNo
15: How is the central vision in your best eye with lens correction?
16: Are your eyes overly sensitive to glare and/or bright light?
YesNo

18: Which generally describes your regular diet?
19: Do you take either the AREDS or AREDS-2 formulation of antioxidants and zinc?
YesNo
20: Do you currently smoke tobacco?
YesNo
21: Do you get at least 20 minutes of productive exercise every day?
YesNo
22: Are you experiencing feelings of depression that you can’t seem to shake?
YesNo

Output for yes…

Output for no…

You have been diagnosed with bilateral, early age-related macular degeneration (AMD).

You have been diagnosed with unilateral, early age-related macular degeneration (AMD).

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