Visual functioning after cataract surgery

Sample questions from the VF-14

1. Do you have any difficulty, even with glasses, reading small print, such as labels on medicine bottles, a telephone book, food labels?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

2. Do you have any difficulty, even with glasses, reading a newspaper or book?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

3. Do you have any difficulty, even with glasses, reading a large-print book or large-print newspaper or numbers on a telephone?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

4. Do you have any difficulty, even with glasses, recognizing people when they are close to you?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

5. Do you have any difficulty, even with glasses, seeing steps, stairs, or curbs?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

6. Do you have any difficulty, even with glasses, reading traffic, street, or store signs?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

7. Do you have any difficulty, even with glasses, doing fine handwork like sewing, crocheting, carpentry?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

8. Do you have any difficulty, even with glasses, writing checks or filling out forms?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity

9. Do you have any difficulty, even with glasses, playing games such as bingo, dominos, card games, mahjong?

o Yes o No o Not applicable

If yes, how much difficulty do you currently have?

1. A little

2. A moderate amount

3. A great deal

4. Unable to do the activity