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                Diff driving day familiar places PhenX
        
 
        
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                Diff driving night PhenX
        
 
        
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                Difficult driving diff conditions PhenX
        
 
        
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                Accomplish less due to vision PhenX
        
 
        
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                Are you limited in how long you can work or do other activities because of your vision [PhenX]
        
 
        
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                Eye pain discomfort limit doing PhenX
        
 
        
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                I stay home most of the time because of my eyesight
        
 
        
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                Frustrated because eyesight PhenX
        
 
        
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                I have much less control over what I do, because of my eyesight
        
 
        
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                Because of my eyesight, I have to rely too much on what other people tell me
        
 
        
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                I need a lot of help from others because of my eyesight
        
 
        
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                I worry about doing things that will embarrass myself or others, because of my eyesight
        
 
        
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                How would you rate your overall health [PhenX]
        
 
        
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                How would you rate your eyesight now (with glasses or contact lens on, if you wear them), on a scale of from 1 to 10, where zero means the worst possible eyesight, as bad or worse than being blind, and 10 means the best possible eyesight?
        
 
        
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                Difficulty small print PhenX
        
 
        
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                Because of your eyesight, how much difficulty do you have figuring out whether bills you receive are accurate [PhenX]
        
 
        
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                Because of your eyesight, how much difficulty do you have doing things like shaving, styling your hair, or putting on makeup [PhenX]
        
 
        
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                Because of your eyesight, how much difficulty do you have recognizing people you know from across a room [PhenX]
        
 
        
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                Because of your eyesight, how much difficulty do you have taking part in active sports or other outdoor activities that you enjoy (like golf, bowling, jogging, or walking)?
        
 
        
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                Because of your eyesight, how much difficulty do you have seeing and enjoying programs on TV [PhenX]