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Brain Injury Visual Symptoms Assessment

Brain Injury Assessment

Use our checklist below to take a self-administered survey for vision symptoms related to traumatic brain injury:

Please check all symptoms that apply*
- Avoids crowds/can’t tolerate visually busy places like stores.
- Have “brain fog”, can’t concentrate
- Vision fluctuates during day
- Eyestrain or discomfort
- Headaches with visual work
- Double vision
- Clumsiness/misjudges where objects really are
- Tentative with walking or taking stairs
- Short attention span/easily distracted
- Difficulty/slowness with reading or writing
- Loses place with reading/poor spacing with writing
- Vision seems off, “not normal”
- Vision is blurred even with glasses at distance or near.
- Light sensitivity indoors or outdoors
Scorecard
If you scored a 4 or higher in your scorecard below, the next step is to set up a brain injury visual evaluation with our neuro-optometrist. Please click "NEXT" and fill out the contact form so we can set up a brain injury comprehensive visual evaluation with you or you can call our office directly at (713) 664-8090 to schedule.

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Office Hours

Monday – Thursday:
8:30am – 5:30pm

Friday:
8:30am – 12:30pm

Saturday & Sunday: Closed

Bellaire Office

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5001 Bissonnet, Ste 102
Bellaire, TX 77401-1045

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