Survey Forms
Survey Forms
Survey Forms
Survey Form
This survey is based on Cataracts Eye Disease and this survey is to be used as
our Statistics Project for Mathematics.
Gender: Male/Female. Age Group: 20-30/30-40/40-50/Others
Questionnaire about Cataracts
Circle your answer
a) Age
b) Genetics
c) Injury
d) Infection
a) Retina
b) Cornea
c) Lens
d) Sclera
a) Children
b) Teens
c) Adults
d) Seniors
4. True or False: Cataracts can be prevented through lifestyle changes.
a) Dry eyes
b) Blurred vision
c) Red eyes
d) Photophobia
a) 5%
b) 20%
c) 50%
d) 80%
a) LASIK
b) PRK
c) Cataract extraction
d) Glaucoma surgery
a) Congenital Cataract
b) Secondary Cataract
c) Traumatic Cataract
d) Nuclear Cataract
a) Age
b) Diabetes
c) Genetics
d) Injury
10. Which of the following lifestyle factors is associated with a lower risk of developing Cataracts?
a) Smoking
b) Regular exercise
a) X-ray
b) MRI
c) Slit-lamp examination
d) Blood test
13. Which type of Cataract forms in the front of the lens and affects vision early?
b) Nuclear cataract
c) Cortical cataract
d) Congenital cataract
14. What percentage of people with Cataracts experience improved vision after surgery?
a) 25%
b) 50%
c) 75%
d) 90%
15. True or False: Cataracts can develop in both eyes simultaneously.
c) Correct nearsightedness
d) Treat glaucoma
a) Nuclear Cataract
c) Cortical Cataract
d) Traumatic Cataract
20. What is the name of the protein that clumps together in the lens and causes Cataracts?
a) Collagen
b) Hemoglobin
c) Crystallin
d) Insulin
21. Which of the following is NOT a common treatment for early-stage Cataracts?
a) Prescription eye drops
b) Lifestyle changes
c) Cataract surgery
22. Which part of the eye regulates the amount of light that enters the eye and focuses on objects?
a) Cornea
b) Retina
c) Lens
d) Iris
23. True or False: Cataracts can be congenital, meaning a person is born with them.
24. Which of the following activities may increase the risk of developing Cataracts?
a) Reading
b) Watching TV
c) Smoking
d) Eating carrots
25. Which of the following vitamins is associated with a reduced risk of Cataracts?
a) Vitamin A
b) Vitamin B12
c) Vitamin C
d) Vitamin D
Feel free to use these questions for your statistics project on Cataracts Eye Disease.