近视情况调查问卷\nNearsightedness Survey Questionnaire

亲爱的同学:
您好!为了解大家的视力状况及用眼习惯,帮助大家更好地保护眼睛,我们开展本次问卷调查。问卷采用匿名形式,答案无对错之分,恳请您根据自身实际情况如实填写,感谢您的支持与配合!
1. 年龄? Age?
2.性别? Gender?
3. 你居住的地区?Your living area?
4.你目前是否近视? Do you currently have myopia?
5.你近视的度数大概是多少? What is your approximate
6.你开始近视的时间大概是? When did you start developing nearsight ness?
7. 你是否使用过近视控制干预手段?Have you ever used any myopia control interventions?
8.你是否经常卧床看书(包括躺着看纸质书、电子书)? Do you often read in bed?
9.你是否经常长时间阅读(连续阅读超过 40 分钟不休息)? Do you often read for long periods?
10.你阅读(看书、写作业)时的光线是否合适? Is the lighting suitable when you read?
11.你每天使用电子产品(手机、电脑、平板等)的总时间大概是? How much time you spend using electronic devices each day?
12.你使用电子产品时,眼睛与屏幕的距离大概是? When using electronic devices, about how far are your eyes from the screen?
13.你近距离用眼(看书、写作业、用电子产品)后,是否会及时休息(如远眺、做眼保健操)? After using your eyes upm close, do you take timely breaks?
14.你平时的读写姿势是否规范(胸口离桌沿一拳、眼睛离书本一尺、握笔手指离笔尖一寸)? Do you usually maontain a proper reading and writing posture?
15.你是否定期检查视力(每学期 1 次及以上)? Do you have your vision checked regularly?
16.如果你近视,是否佩戴眼镜? If you are nearsighted, do you wear glasses?
17.你佩戴眼镜后,是否坚持正确佩戴(看远时佩戴,符合度数要求)? After wearing glasses, do you consistently wear them correctly?
18.你每天的户外活动 (玩耍, 散步, 运动) 的时间 ?How much time do you spend on outdoor activities?
19.你每天的睡眠时常约为? Your daily sleep duration is approximately?
  1. 20.对于学校或政府更好地应对儿童青少年近视问题,您有哪些建议?What suggestions do you have for schools or the government to better address the issue of myopia in children and adolescents?
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