CVS-Q Definitivo English
CVS-Q Definitivo English
CVS-Q Definitivo English
To be completed by worker
Indicate whether you experience any of the following symptoms during the time you use the computer
at work. For each symptom, mark with an X:
a. First, the frequency, that is, how often the symptom occurs, considering that:
NEVER = the symptom does not occur at all
OCCASIONALLY = sporadic episodes or once a week
OFTEN OR ALWAYS = 2 or 3 times a week or almost every day
b. Second, the intensity of the symptom:
Remember: if you indicated NEVER for frequency, you should not mark anything for intensity.
a. Frecuency b. Intensity
1 Burning
2 Itching
4 Tearing
5 Excessive blinking
6 Eye redness
7 Eye pain
8 Heavy eyelids
9 Dryness
10 Blurred vision
11 Double vision
13 Increased sensitivity to
light
16 Headache
© 2015, Mar Seguí, Elena Ronda, Julio Cabrero, José Verdú (University of Alicante). All rights reserved.
To be completed by investigator
• Frequency: • Severity:
- Never=0 - The result of Frequency x Intensity
- Occasionally=1 should be recoded as: 0 = 0; 1 or 2 = 1; 4 = 2
- Often or always=2
• Intensity
- Moderate=1
- Intense=2
Frequency x
Frequency Intensity Severity
Intensity
1 Burning
2 Itching
4 Tearing
5 Excessive blinking
6 Eye redness
7 Eye pain
8 Heavy eyelids
9 Dryness
10 Blurred vision
11 Double vision
16 Headache
16
Total score= ∑
i=1
If the total score is ≥6 points, the worker is considered to suffer Computer Vision Syndrome.