COMS Developed Scales--Stereopsis/Binocularity

How much difficulty do you have doing work or hobbies that require you to see well up close, such as cooking, sewing, fixing things around the house, or using hand tools? VFQ
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have finding something on a crowded shelf?VFQ
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have going down steps, stairs, or curbs in dim light or at night?ADVS and VFQ
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have walking down steps without handrails or help during daylight?ADVS and VFQ
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have noticing objects off to the side while you are walking along?VFQ
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have threading a needle without using a threading device (or help-mate)?ADVS
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have using rulers, yard sticks or tape measures?ADVS
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have using a screwdriver?ADVS
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have preparing meals?ADVS
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

Because of your eyesight, how much difficulty do you have pouring coffee, milk, or other beverages?COMS
No difficulty at all(100)
A little difficulty(75)
Moderate difficulty(50)
Extreme difficulty(25)
Stopped doing this because of eyesight(0)
Stopped doing this for other reasons or not interested in doing this(not scored)

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Copyright 2003. The Collaborative Ocular Melanoma-Quality Of Life Study.