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Questions marked with a * are required Exit Survey
 
 
Name (if interested)
   
 
 
 
* Age
 
20-25
 
25-27
 
28-30
 
more than 30
 
 
 
* Gender
 
Male
 
Female
 
 
 
Dry eye syndrome checklist
 
 
 
How many years have you been working with computers
 
0-2 years
 
3-5 years
 
6-9 years
 
more than 10 years
 
 
 
What type of project You work in
 
Development
 
Support
 
Testing
 
Other
 
 
 
Which one you use frequently
 
Desktop PC
 
Laptop
 
Both
 
 
 
How much hours you work in computer
 
5-6 hrs
 
6-8 hrs
 
8-10 hrs
 
more than 10 hrs
 
 
How frequently do you experience the following eye symptoms? 
Burning eyes
Frequent headache
Do you have difficulty driving?
Do you have difficulty watching television?
Blurred vision
 
 
 
Do you wear anti glare glasses while working at the computer?
Yes
No