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Convergence Insufficiency Symptom Survey
A validated 15-item self-assessment for symptoms related to convergence insufficiency (CI) and near-vision disorders.
Clinical threshold: score ≥ 21 | Rate each symptom 0 (Never) – 4 (Always)Your CITT Result
0
Your results have been sent to London Vision Training Clinic. A clinician will follow up with you.
Clinician instructions: Read the following subject instructions and then each item exactly as written. If subject responds with "yes" — please qualify with frequency choices. Do not give examples.
Subject instructions: Please answer the following questions about how your eyes feel when reading or doing close work.
Subject instructions: Please answer the following questions about how your eyes feel when reading or doing close work.
Your Contact Information
| # Symptom (when reading or doing close work) | 0 Never |
1 Infrequently |
2 Sometimes |
3 Fairly often |
4 Always |
|---|
Live Score
0
Progress
0 / 15 answered
Answer questions to see your prediction