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Patient Name: DOB: Date of Visit: VF14 QOL Questionnaire Because of your vision, how much difficulty do you have with the following activities? Check the box that best describes how much difficulty.

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The VF-14 questionnaire is based on 14 vision-dependent activities performed in everyday life, such as: reading, recognizing people, seeing steps, doing fine handiwork, writing, playing games, doing sports, cooking/preparing meals, watching television, and driving (Table 1).

Purpose : The VF-14 is a 14-item questionnaire designed to assess visual function impairment and generate an aggregate score (AS) between 0 and 100 measuring the difficulty due to decreased vision, to complete ordinary daily tasks. Healthy controls score above 95 points on average.

The VF-14 is scaled from 0 to 100, with 0 indicating that the patient is unable to perform any applicable activities and 100 meaning that the patient can perform all applicable activities without difficulty.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232