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Functional Vision Symptom Checklist
Any of the following symptoms may indicate a functional vision problem. Please mark the symptoms that occur and use the scoring criteria which will automatically calculate at the bottom of the page to determine if a functional vision evaluation is recommended.
If you would like to schedule an evaluation, please make note of your score as you will need this when scheduling.
Check all that apply:
Criteria:
Call or email Minnesota Vision Therapy Center today for a FREE functional vision evaluation.
mvtc@minnesotavisiontherapy.com
952-844-0844
877-756-0844
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