If you think you have Binocular Vision Dysfunction (BVD), reduce your symptoms by 50% in just five minutes! Fill out the questionnaire below, we'll then email your results and send you a link to the free 5 minute at home test to relieve your symptoms!
Please note: This questionnaire is for individuals that are 13 years old or younger. If you are 14 years old or older, please return to your previous page and select “Adult Questionnaire”
Directions: Children - answer these questions together with your Parents. For every question, select the answer that best describes your situation. If you wear glasses or contact lenses, answer the questions assuming that you are wearing them. Please answer every question.