Free Eye Tests, Glasses & £35 Amazon Voucher At The University Of Central Lancashire Eye Clinic

Free Eye Tests, Glasses & £35 Amazon Voucher At The University Of Central Lancashire Eye Clinic

Location: Preston, PR1
Appointment Dates: February/March

As part of their research into the effect of digital devices on people's vision, The University Of Central Lancashire's Eye Clinic is offering free eye tests. This is a public facility and operates just like a high-street practice.

Register for A Free Eye Test & Receive A Free £35 Amazon Voucher

Please fill in the form below to register for a free eye test. As this is a research study as well as a free/standard eye test you will also receive a £35 Amazon voucher!

Phase Two - Free Glasses

Do You Struggle With Digital Eye Strain? Optional Opportunity To Take Part In Further Research & Receive Free Glasses & Earn £120
Some people will also receive a free pair of glasses and will be invited to take part in phase two of the study. This will involve returning to our eye clinic for four 30 minute visits. You will be paid £30 per visit - THERE IS NO OBLIGATION TO TAKE PART IN PHASE TWO OF THE STUDY.

How old are you? *

Do you use digital devices for 1+ hours a day (this includes Smart Phones/Tables/Laptops/Apple Watches etc) *

Yes
No
Other

Have you ever worn a “near add” correction lenses (i.e. bifocal / varifocal / ESL Lens)? *

Yes
No
Other (please specify):

Do You Have Any Of The Following Conditions? *

Amblyopia – a lazy eye where one of the eyes is turned in/out/up/down relative to the other OR has permanently reduced vision even with spectacles worn
Pregnancy
Diagnosed dry eye disease
On anti-depressants
Any diagnosed ocular pathology (such as glaucoma, corneal dystrophies, lid disorders and retinal pathologies)
NONE OF THESE
Other (please specify):

Do You Wear Glasses/Contact Lenses? *

Yes
No
Other (please specify):

When was the last time you visited an optician? *

Are you able to bring a copy of your last optical prescription to your appointment? You may this already, if not you can easily get a copy from the receptionists at your usual practice - if you have not visited an optician before or not for a long time please answer N/A below *

Yes
No
I have never visited an optician before
Other (please specify):

What is your email address? *

What is your name? *

What is your home postcode? *

What is your telephone number? *

Do You Have Any Of The Following Common Visual Symptoms (i.e. IN YOUR EYES)?
THESE ARE SOMETIMES ASSOCIATED WITH DIGITAL DEVICE USAGE *

	FREQUENCY - Never	FREQUENCY - Occasionally	FREQUENCY - Often/Always	INTENSITY- Moderate	INTENSITY- Intense
Tired eyes	Tired eyes FREQUENCY - Never	Tired eyes FREQUENCY - Occasionally	Tired eyes FREQUENCY - Often/Always	Tired eyes INTENSITY- Moderate	Tired eyes INTENSITY- Intense
Eye strain	Eye strain FREQUENCY - Never	Eye strain FREQUENCY - Occasionally	Eye strain FREQUENCY - Often/Always	Eye strain INTENSITY- Moderate	Eye strain INTENSITY- Intense
Blurred vision	Blurred vision FREQUENCY - Never	Blurred vision FREQUENCY - Occasionally	Blurred vision FREQUENCY - Often/Always	Blurred vision INTENSITY- Moderate	Blurred vision INTENSITY- Intense
Frontal headaches	Frontal headaches FREQUENCY - Never	Frontal headaches FREQUENCY - Occasionally	Frontal headaches FREQUENCY - Often/Always	Frontal headaches INTENSITY- Moderate	Frontal headaches INTENSITY- Intense
Difficulties keeping clear vision when changing focus from near to distance	Difficulties keeping clear vision when changing focus from near to distance FREQUENCY - Never	Difficulties keeping clear vision when changing focus from near to distance FREQUENCY - Occasionally	Difficulties keeping clear vision when changing focus from near to distance FREQUENCY - Often/Always	Difficulties keeping clear vision when changing focus from near to distance INTENSITY- Moderate	Difficulties keeping clear vision when changing focus from near to distance INTENSITY- Intense
Difficulties keeping clear vision when changing focus from once device to another	Difficulties keeping clear vision when changing focus from once device to another FREQUENCY - Never	Difficulties keeping clear vision when changing focus from once device to another FREQUENCY - Occasionally	Difficulties keeping clear vision when changing focus from once device to another FREQUENCY - Often/Always	Difficulties keeping clear vision when changing focus from once device to another INTENSITY- Moderate	Difficulties keeping clear vision when changing focus from once device to another INTENSITY- Intense

Do You Have Any Of The Following Common Visual Symptoms (i.e. IN YOUR EYES)? *

	FREQUENCY - Never	FREQUENCY - Occasionally	FREQUENCY - Often/Always	INTENSITY- Moderate	INTENSITY- Intense
Burning (in your eyes)	Burning (in your eyes) FREQUENCY - Never	Burning (in your eyes) FREQUENCY - Occasionally	Burning (in your eyes) FREQUENCY - Often/Always	Burning (in your eyes) INTENSITY- Moderate	Burning (in your eyes) INTENSITY- Intense
Itching (in your eyes)	Itching (in your eyes) FREQUENCY - Never	Itching (in your eyes) FREQUENCY - Occasionally	Itching (in your eyes) FREQUENCY - Often/Always	Itching (in your eyes) INTENSITY- Moderate	Itching (in your eyes) INTENSITY- Intense
Feeling of a foreign body (in your eyes)	Feeling of a foreign body (in your eyes) FREQUENCY - Never	Feeling of a foreign body (in your eyes) FREQUENCY - Occasionally	Feeling of a foreign body (in your eyes) FREQUENCY - Often/Always	Feeling of a foreign body (in your eyes) INTENSITY- Moderate	Feeling of a foreign body (in your eyes) INTENSITY- Intense
Tearing (in your eyes)	Tearing (in your eyes) FREQUENCY - Never	Tearing (in your eyes) FREQUENCY - Occasionally	Tearing (in your eyes) FREQUENCY - Often/Always	Tearing (in your eyes) INTENSITY- Moderate	Tearing (in your eyes) INTENSITY- Intense
Excessive blinking	Excessive blinking FREQUENCY - Never	Excessive blinking FREQUENCY - Occasionally	Excessive blinking FREQUENCY - Often/Always	Excessive blinking INTENSITY- Moderate	Excessive blinking INTENSITY- Intense
Eye redness	Eye redness FREQUENCY - Never	Eye redness FREQUENCY - Occasionally	Eye redness FREQUENCY - Often/Always	Eye redness INTENSITY- Moderate	Eye redness INTENSITY- Intense
Eye pain	Eye pain FREQUENCY - Never	Eye pain FREQUENCY - Occasionally	Eye pain FREQUENCY - Often/Always	Eye pain INTENSITY- Moderate	Eye pain INTENSITY- Intense
Heavy eyelids	Heavy eyelids FREQUENCY - Never	Heavy eyelids FREQUENCY - Occasionally	Heavy eyelids FREQUENCY - Often/Always	Heavy eyelids INTENSITY- Moderate	Heavy eyelids INTENSITY- Intense
Dryness (in your eyes)	Dryness (in your eyes) FREQUENCY - Never	Dryness (in your eyes) FREQUENCY - Occasionally	Dryness (in your eyes) FREQUENCY - Often/Always	Dryness (in your eyes) INTENSITY- Moderate	Dryness (in your eyes) INTENSITY- Intense
Blurred vision	Blurred vision FREQUENCY - Never	Blurred vision FREQUENCY - Occasionally	Blurred vision FREQUENCY - Often/Always	Blurred vision INTENSITY- Moderate	Blurred vision INTENSITY- Intense
Double vision	Double vision FREQUENCY - Never	Double vision FREQUENCY - Occasionally	Double vision FREQUENCY - Often/Always	Double vision INTENSITY- Moderate	Double vision INTENSITY- Intense
Difficulty focusing for near vision	Difficulty focusing for near vision FREQUENCY - Never	Difficulty focusing for near vision FREQUENCY - Occasionally	Difficulty focusing for near vision FREQUENCY - Often/Always	Difficulty focusing for near vision INTENSITY- Moderate	Difficulty focusing for near vision INTENSITY- Intense
Increased sensitivity to light	Increased sensitivity to light FREQUENCY - Never	Increased sensitivity to light FREQUENCY - Occasionally	Increased sensitivity to light FREQUENCY - Often/Always	Increased sensitivity to light INTENSITY- Moderate	Increased sensitivity to light INTENSITY- Intense
Coloured halos around objects	Coloured halos around objects FREQUENCY - Never	Coloured halos around objects FREQUENCY - Occasionally	Coloured halos around objects FREQUENCY - Often/Always	Coloured halos around objects INTENSITY- Moderate	Coloured halos around objects INTENSITY- Intense
Feeling that sight is worsening	Feeling that sight is worsening FREQUENCY - Never	Feeling that sight is worsening FREQUENCY - Occasionally	Feeling that sight is worsening FREQUENCY - Often/Always	Feeling that sight is worsening INTENSITY- Moderate	Feeling that sight is worsening INTENSITY- Intense
Headache	Headache FREQUENCY - Never	Headache FREQUENCY - Occasionally	Headache FREQUENCY - Often/Always	Headache INTENSITY- Moderate	Headache INTENSITY- Intense