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Dear Optometrist

You are invited to participate in my survey of how South African Optometrists screen for glaucoma. In this survey, approximately 1000 Optometrists will be asked to complete a survey that asks questions about their practices. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for me to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact me by email at the email address specified below.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.

Venessa Niemand
[email protected]
 
 
 
 
First name:
   
 
 
 
Main qualification held:
 
Dip.Optom
 
B.Optom
 
B.Tech Optom
 
OD
 
Other
 
 
 
 
Year qualified
   
 
 
 
From which institution did you qualify?
 
Rand Afrikaans University / University of Johannesburg
 
University of Durban-Westville / Kwazulu-Natal
 
University of the Free State
 
University of the North / Limpopo
 
Technicon Witwatersrand
 
Other
 
 
 
 
Have you attended any other courses after primary qualification?
 
CAS (before 1998)
 
CAS (diagnostic agents)
 
CAS (therapeutics)
 
Diabetes course
 
Advanced contact lens fitting
 
Sportsvision
 
Binocular vision
 
Pediatrics
 
Low Vision
 
Masters degree in Optometry
 
Doctoral degree in Optometry
 
MBA

 
 
 
In which province is your practice located - if you have more than one practice, please answer in which province you spend the most time
 
Eastern Cape
 
Free State
 
Gauteng
 
Kwazulu-Natal
 
Limpopo
 
Mpumalanga
 
Northern Cape
 
North-West
 
Western Cape
 
 
 
Where is your practice located?
 
Urban area
 
Rural area
 
 
 
How many Optometrists in your practice?
   
 
 
 
Does your practice focus on a specific field of Optometry?
 
Binocular vision / visual therapy
 
Contact lenses
 
Fashion eyewear
 
General Optometry
 
Low Vision
 
Pediatrics
 
Sportsvision
 
Not applicable - I work for an Ophthalmologist

 
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