Prevent Blindness America: Survey

Survey Name	Start Date	End Date	Number Taken
Registration for Preschool Vision Refresher Video	08/28/2009	08/28/2014	150
2009 Vision Screener Survey	10/08/2009	10/07/2014	135
A Little Night Vision Silent Auction Donor Form	12/29/2008	12/29/2013	1
A Little Night Vision - Registration	02/03/2009	12/29/2013	30
AMD Brochure	04/27/2005	12/31/2010	337
Adult Vision Risk Assessment	07/21/2004	12/31/2010	16044
Adult Vision Screening Training	12/22/2005	04/01/2015	115
Amblyopia Guide for parents	04/27/2005	12/31/2010	1008
Ask Patch the Pup	09/08/2005	12/31/2010	9
Battery Jump Start Sticker	04/27/2005	12/31/2010	21724
Bring Exhibits-to-Go to Your School or Classroom	01/14/2008	02/08/2013	9
Cataract Surgery Guide	04/27/2005	12/31/2010	222
Checklist for Your Eye Doctor Appointment	04/27/2005	12/31/2010	215
Color Vision Deficiency Fact Sheet	04/27/2005	12/31/2010	712
Computers and Your Eyes	04/27/2005	12/31/2010	237
Conjunctivitis (Pink Eye) Fact Sheet	04/27/2005	12/31/2010	271
Contact Lens Student Survey	05/27/2009	09/25/2013	414
Contact Lens Survey	09/24/2008	09/24/2013	377
Contact Lenses Brochure	04/27/2005	12/31/2010	77
Contact Prevent Blindness America	06/15/2004	12/31/2010	6445
Contact Prevent Blindness Nebraska	06/15/2004	03/14/2015	5
Contact Prevent Blindness Tri-State	04/10/2006	05/10/2015	60
Contact Prevent Blindness Wisconsin	06/15/2004	12/31/2010	42
Diabetes and Your Sight	08/18/2005	12/31/2015	4675
Diabetic Retinopathy Brochure	04/27/2005	12/31/2010	517
Diabetic Retinopathy Healthcare Providers Survey	08/19/2005	12/31/2010	2
Don't Play Games with Your Eyes Brochure	04/27/2005	12/31/2010	452
Dry Eye Fact Sheet	04/27/2005	12/31/2010	491
Economic Impact of Vision Problems	04/27/2005	12/31/2010	156
Expectant Parents Vision Care Package	04/27/2005	12/31/2010	1042
Eye Patch Club Hints and Tips	08/02/2006	09/01/2015	1
Eye Patch Club Registration	09/08/2005	12/31/2010	112
Eye Safety is No Accident brochure	04/27/2005	12/31/2010	353
Family Home Eye Test Brochure	04/27/2005	12/31/2010	1231
Financial Assistance Information	04/27/2005	12/31/2010	2797
First Aid for Eye Emergencies	04/27/2005	12/31/2010	1879
Floaters Fact Sheet and Signs of Eye Problems in Adults Leaflet	04/27/2005	12/31/2010	1594
Full Registration	10/03/2007	11/02/2015	1098
Future Innovations to Prevent Blindness and Preserve Sight	02/23/2006	12/31/2015	9
Glaucoma	04/27/2005	12/31/2010	41
Growing Older with Good Vision Brochure	04/27/2005	12/31/2010	359
Guide for People with Glaucoma	04/27/2005	12/31/2010	1138
Halloween Safety Tips and First Aid for Eye Emergencies	04/27/2005	12/31/2010	9487
Healthy Eyes Monthly Vision News	08/07/2006	08/28/2013	59
Healthy Eyes Vision Wellness Program Kit	04/27/2005	01/17/2013	3942
Home Eye Test for Preschoolers	04/27/2005	12/31/2010	1300
How to Take Eye Drops Fact Sheet	04/27/2005	12/31/2010	493
Letter to the Editor	09/14/2006	12/14/2015	90
Low Vision Assistance List and Tips for Living With Low Vision Fact Sheets	04/27/2005	12/31/2010	754
Medicare Benefits Fact Sheet	04/27/2005	12/31/2010	1023
Newborn, Infant and Toddler Vision Guide	04/27/2005	12/31/2010	1693
Ohio Adult Vision Risk Assessment	07/21/2004	12/31/2015	25
Ohio Adult Vision Screening Recertification True-False Exam	03/23/2007	04/22/2015	33
Our Vision for Children's Vision	04/27/2005	07/21/2013	88
PBA Vision Screening Recertification True/False Exam	12/07/2005	01/29/2015	1
PBO Adult Vision Screening Recertification Exam	03/23/2007	04/22/2015	11
PBO Vision Screening Recertification True-False Exam Medical	12/07/2005	12/31/2010	64
PBO Vision Screening Recertification True-False Exam School	12/07/2005	12/31/2010	274
PBTX Adult Vision Screening Request Form	03/05/2008	03/05/2013	146
Play It Safe Brochure	04/27/2005	12/31/2010	416
Play It Safe With Your Eyes Curriculum	10/08/2007	11/07/2015	0
Policy Issue Buzzmeter Survey	05/16/2007	12/31/2015	8
Position Statements Survey	05/16/2007	12/31/2015	1
Preschool Vision Screener Questionnaire	01/06/2009	01/06/2014	80
Prevent Blindness Affiliate Marketing Needs Survey	08/03/2009	08/03/2014	9
Prevent Blindness America - Arizona Division Recertification Test	10/06/2006	11/05/2015	8
Prevent Blindness America - Arizona E Newsletter	06/11/2004	12/31/2010	21
Prevent Blindness America Fireworks Accident Registry	07/22/2004	12/31/2015	3
Prevent Blindness America News	04/27/2005	12/31/2010	230
Prevent Blindness Mid-Atlantic E News	06/11/2004	12/31/2010	65
Prevent Blindness Ohio Adult Vision Screening Survey - 2007	10/18/2007	11/17/2015	8
Prevent Blindness Ohio E Newsletter	06/11/2004	12/31/2010	199
Prevent Blindness Ohio Preschool Vision Screening Training Application	12/22/2005	12/31/2015	559
Prevent Blindness Ohio Refresher Course Evaluation	11/23/2009	11/23/2014	7
Prevent Blindness Ohio Vision Screening Recertification Exam Medical	12/07/2005	12/31/2010	43
Prevent Blindness Ohio Vision Screening Recertification Exam-Education	12/07/2005	12/31/2010	20
Prevent Blindness Tennessee Screening Data Entry Form	08/25/2005	12/31/2010	2
Prevent Blindness Tennessee Volunteer Application Form	12/05/2006	01/04/2015	4
Prevent Blindness Tennesssee E Newsletter	06/11/2004	12/31/2010	296
Protecting Your Eyes from the Sun	04/27/2005	12/31/2010	800
Questions on Eye Safety At Work Brochure	04/27/2005	12/31/2010	850
Request Certified Vision Screener Training Information	04/27/2005	12/31/2010	3393
Request a Kiosk Date and Location	01/14/2008	02/11/2013	6
Request a Preschool Vision Screening Training	01/14/2008	02/11/2013	6
Retinal Tears and Detachments Fact Sheet	04/27/2005	12/31/2010	721
Retinitis Pigmentosa Brochure	04/27/2005	12/31/2010	260
Safe Summer Celebrations	04/27/2005	06/05/2013	57
Share Your Story	02/11/2009	02/11/2014	12
Share Your Story With Us!	07/22/2004	12/31/2015	0
Sight for Life Speakers Bureau Request Form	02/11/2008	02/11/2013	8
Signs of Eye Trouble in Adults leaflet	04/27/2005	12/31/2010	346
Signs of Possible Eye Trouble in Children	04/27/2005	12/31/2010	374
Strabismus Brochure for Parents	04/27/2005	12/31/2010	169
Subscribe to PBA E News	02/16/2005	12/31/2010	3412
Subscribe to PBNC E News	02/16/2005	12/31/2010	107
Subscribe to Prevent Blindness Indiana E News	02/16/2005	12/31/2015	45
Subscribe to Prevent Blindness Tri-State E News	02/16/2005	12/31/2010	27
Subscribe to Prevent Blindness Wisconsin News	02/16/2005	12/31/2010	33
Uveitis Guide	04/27/2005	12/31/2010	2356
Vehicle Donation Form	04/11/2006	05/11/2015	0
Virginia Adult Vision Risk Assessment	07/21/2004	12/31/2010	42
Vision Facts Quiz	11/16/2004	12/31/2010	27
Vision Poster Request Form	02/08/2010	02/08/2015	2
Wise About Eyes Contact Form	01/14/2008	01/14/2013	18
Wise About Eyes News	01/14/2008	01/14/2013	78
Wise About Eyes VSP Program Response Form	01/15/2008	01/15/2013	4
Wise Owl Contact Information	09/07/2005	12/31/2010	30
Your Child's Sight Brochure	04/27/2005	12/31/2010	573
eNewsletter	02/16/2005	12/31/2010	2499
registration	08/08/2007	09/07/2015	126

Survey List