Myths
Our Specialists
Locations
Strabismus FAQs

Myths
Our Specialists
Locations
Strabismus FAQs

Myths
Our Specialists
Locations
Strabismus FAQs

Myths
Our Specialists
Locations
Strabismus FAQs

Adult Strabismus Self-Test

Welcome to the PES Adult Strabismus Center’s Self-Assessment.

Complete this brief, 11-question assessment to see if you are a potential candidate for strabismus treatment. Estimated time to complete: 1-2 minutes.

Adult Strabismus Self-Test

"*" indicates required fields

Step 1 of 4 - Step One

25%

Have you noticed your eyes pointing in different directions?*

Yes, constantly

Yes, intermittently

No, not at all

Are you experiencing any of the following? (click all that apply)*

Double vision (diplopia)

Poor depth perception

Eye strain or fatigue

None of these

Do you experience difficulty maintaining eye contact during conversations?*

Frequently

Sometimes

Rarely or Never

Do you find yourself tilting or turning your head to see things more clearly?*

Often

Occasionally

Rarely or Never

How long have you had strabismus?*

Since I was a child

Developed as an adult

Unsure when it started

Not sure I have strabismus

Has your strabismus impacted your work or social life?*

Significantly

Somewhat

Not at all

Have you ever been diagnosed with any of the following conditions? (Select all that apply)*

Thyroid eye disease

Diabetes

Stroke

Head injury

None of the above

Have you been told nothing can be done for your eye misalignment?*

Yes

Do you think your eye misalignment is a cosmetic problem or a vision problem?*

Cosmetic Problem

Vision Problem

Both

Neither

Does your eye misalignment affect your confidence and self-esteem?*

None

Some

A Great Deal

Did you know that health insurance typically covers your strabismus treatment?*

Yes

Contact Info

First Name*

Last Name*

Email*

Phone*

For Potential Patients

Take the Adult Strabismus Self-Test

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