Lifestyle Questionnaire Guide

Thank you for taking a few minutes to complete this questionnaire. Your answers to these questions will guide us in recommending personalized eye care that will meet your lifestyle needs.

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How many hours a day do you use the computer, gadgets, play computer games or watch TV?
Do you experience any discomfort (eye, neck, back or shoulder), dizziness or headache when using the computer, tablet or sending text messages?
Are you bothered by glare from TV, computer screen, driving at night, headlights or sunlight?
How many hours a day do you spend reading or other close work?
Does your work cause you to go from indoors to outdoors frequently?
How many hours a day do you spend outdoors?
Do you have outdoor sun protection for your eyes?
If yes, are they polarized?
Are you interested in lenses that darken in sunlight?
Do you have difficulties with your vision at night?
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Is safety protection a concern?
Do your home activities or hobbies include using Power Tools or Caustic Cleaning Supplies?
Would you like thinner or lighter lenses?
Are your lenses scratched from regular use?
Is it important that your lenses are easy to clean?
Do you consider Fashion as one criteria for wearing glasses like same color with your dress or bag?
Do you currently use more than one pair of glasses?
Which of the following glasses do you currently have:
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Are you interested in contact lenses?
What do you like most about your glasses?
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What do you like least about your glasses?
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Please do not submit any Protected Health Information (PHI).

Locations

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Hours of Operation

Our Regular Schedule

Ayala Center Cebu & SM City Consolacion

Monday  

10:00 am - 9:00 pm

Tuesday  

10:00 am - 9:00 pm

Wednesday  

10:00 am - 9:00 pm

Thursday  

10:00 am - 9:00 pm

Friday  

10:00 am - 9:00 pm

Saturday  

10:00 am - 9:00 pm

Sunday  

10:00 am - 9:00 pm

UC Banilad - Taking appointments due to COVID 19

Monday  

9:00 am - 6:00 pm

Tuesday  

9:00 am - 6:00 pm

Wednesday  

9:00 am - 6:00 pm

Thursday  

9:00 am - 6:00 pm

Friday  

9:00 am - 6:00 pm

Saturday  

9:00 am - 6:00 pm

Sunday  

Closed

University of Cebu Medical Center - UCMed

Monday  

9:00 am - 12:00 pm

Tuesday  

9:00 am - 12:00 pm

Wednesday  

9:00 am - 12:00 pm

Thursday  

9:00 am - 12:00 pm

Friday  

9:00 am - 12:00 pm

Saturday  

9:00 am - 12:00 pm

Sunday  

Closed