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Home » Brain Injury Vision Symptom Survey (BIVSS) Questionnaire

Brain Injury Vision Symptom Survey (BIVSS) Questionnaire

Brain Injury Vision Symptom Survey (BIVSS) Questionnaire

  • INSTRUCTIONS: Please check the most appropriate box that best matches your symptoms today.
    Please rate each symptom.
    How often does each occur? (Check a box)
  • EYESIGHT CLARITY

  • VISUAL COMFORT

  • DOUBLING

  • LIGHT SENSITIVITY

  • DRY EYES

  • DEPTH PERCEPTION

  • PERIPHERAL VISION

  • READING