THE PATIENT LIFESTYLE QUESTIONNAIRE

Examples of What to Ask and Why

• Are you bothered by glare from any of the following: night driving, sunshine, fluorescent lights, computer screens?

  - WHY: Helps pinpoint whether the patient will benefit from an antireflective or other lens coating, variable tint optics, sunglasses, etc.

• Does your work entail unusual visual demands due to: distance, position, lighting, other? What are your hobbies: cards, woodworking, bingo, fishing, golf, gardening, other?

• - WHY: The more accurate a picture the doctor has of her patients' visual needs, the more precise and useful the recommendation will be. The answers to these lifestyle questions can point the doctor toward a recommendation of computer glasses (for work at intermediate distances), safety glasses (woodworking), polarized lenses (fishing), etc.

• Are you happy with your current glasses?
  If "no," what improvements would you like?

• - WHY: Pinpoints needs that aren't being met. Allows patients to voice their concerns and involves them in the decision-making process.