Get Started With Our Self-Assessment

Ocutech often receive inquiries from individuals seeking guidance on selecting the right bioptics for their unique needs. While the ultimate decision should be based on the recommendations of your low vision specialist, this questionnaire can serve as a helpful starting point. It may assist you in identifying a suitable Ocutech product and give you an initial understanding of how bioptic devices could benefit you.

Please note that the report you'll receive is based on your provided responses and is not a formal prescription.

Trying some things out, not to be published yet

Telescope Recommendation:
We would recommend trying:
• 1.7x Sightscope

Telescope Recommendation:
We would recommend trying:
• 2.2x Sightscope

Telescope Recommendation:
We would recommend trying:
• 3x VES Mini
• 3x or 4x VES K
• 3x or 4x Explorer
• 3x or 4x Falcon

Telescope Recommendation:
We would recommend trying:
• 4x VES K
• 4x Explorer
• 4x or 5x Sport
• 4x Falcon

Telescope Recommendation:
We would recommend trying:
• 5x or 6x Sport
• 5.5x Falcon

Telescope Recommendation:
We would recommend trying:
• 6x Sport
• 5.5x Falcon

Name(Required)

First Last

Email(Required)

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

How old are you?(Required)

Number of years of visual impairment?(Required)

Has your vision worsened within the past year?(Required)

This field is hidden when viewing the form

What is the cause of you reduced vision?(Required)

What is the visual acuity of your RIGHT eye (with eyeglasses or contacts if they help)?(Required)

What is the visual acuity of your LEFT eye (with eyeglasses or contacts if they help)?(Required)

Which eye is your dominant eye?(Required)

Is your better seeing eye also your dominant eye?(Required)

What is the furthest distance that you can recognize a family member's face? (with both eyes open)(Required)

Describe your vision: It is(Required)

What vision goals are you hoping to improve the most?(Required)

When looking through a pair of binoculars, can you see much better at a distance?(Required)

Would you feel uncomfortable wearing something in public that appears unusual?(Required)