Exam Assessment Form

✨ Scoring/Result Idea for Social & Website:

• Mostly A’s or B’s: You’re probably due (or almost due) for an eye exam. ✅
• Mostly C’s or D’s: You may not need an immediate appointment, but it’s still smart to schedule annual checkups to stay ahead of changes.
• Any “Yes” in Q4 or Q5: We recommend booking an exam soon to protect your eye health.