Eyesight Toxicity Quiz

How did you hear about this quiz?

    Facebook
    TV
    Radio
    Newspaper
    Other

What is your gender?

    Female
    Male

What is your current age?

    54 or younger
    55 – 64
    65 – 74
    75 -84
    85 or older

I have:

    A parent, brother or sister who has been diagnosed with macular degeneration
    Another relative who has been diagnosed with macular degeneration
    I have macular degeneration
    I don’t know

I typically drink more than 3 alcoholic drinks per day:

    Yes
    No

I smoke:

    More than 1 pack per day
    Less than 1 pack per day
    I do not smoke

I usually exercise at least 3 times per week:

    Yes
    No

I eat at least 1 cup of green leafy vegetables per day:

    Yes
    No

I have eye exams from my eye care specialists at least once per year:

    Yes
    No

I take a vitamin for my eye health at least 3 times per week:

    Yes
    No