Prevent Blindness America: Survey

Survey Name	Start Date	End Date	Number Taken
Registration for Preschool Vision Refresher Video	08/28/2009	08/28/2014	383
2009 Vision Screener Survey	10/08/2009	10/07/2014	137
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	355
Adult Vision Risk Assessment	07/21/2004	12/31/2010	16735
Adult Vision Screening Training	12/22/2005	04/01/2015	115
Aging Eye Summit Series: Focus on Diabetic Eye Disease	04/06/2010	04/06/2015	137
Amblyopia Guide for parents	04/27/2005	12/31/2010	1076
Ask Patch the Pup	09/08/2005	12/31/2010	9
Battery Jump Start Sticker	04/27/2005	12/31/2010	22177
Bring Exhibits-to-Go to Your School or Classroom	01/14/2008	02/08/2013	18
Cataract Surgery Guide	04/27/2005	12/31/2010	227
Checklist for Your Eye Doctor Appointment	04/27/2005	12/31/2010	239
Color Vision Deficiency Fact Sheet	04/27/2005	12/31/2010	744
Computers and Your Eyes	04/27/2005	12/31/2010	259
Conjunctivitis (Pink Eye) Fact Sheet	04/27/2005	12/31/2010	291
Contact Lens Student Survey	05/27/2009	09/25/2013	415
Contact Lens Survey	09/24/2008	09/24/2013	393
Contact Lenses Brochure	04/27/2005	12/31/2010	83
Contact Prevent Blindness America	06/15/2004	12/31/2010	6998
Contact Prevent Blindness Nebraska	06/15/2004	03/14/2015	5
Contact Prevent Blindness Tri-State	04/10/2006	05/10/2015	72
Contact Prevent Blindness Wisconsin	06/15/2004	12/31/2010	55
Diabetes and Your Sight	08/18/2005	12/31/2015	4754
Diabetic Retinopathy Brochure	04/27/2005	12/31/2010	542
Diabetic Retinopathy Healthcare Providers Survey	08/19/2005	12/31/2010	4
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	518
Economic Impact of Vision Problems	04/27/2005	12/31/2010	158
Expectant Parents Vision Care Package	04/27/2005	12/31/2010	1069
Eye Patch Club Hints and Tips	08/02/2006	09/01/2015	1
Eye Patch Club Registration	09/08/2005	12/31/2010	137
Eye Safety is No Accident brochure	04/27/2005	12/31/2010	390
Family Home Eye Test Brochure	04/27/2005	12/31/2010	1275
Financial Assistance Information	04/27/2005	12/31/2010	3090
First Aid for Eye Emergencies	04/27/2005	12/31/2010	2043
Floaters Fact Sheet and Signs of Eye Problems in Adults Leaflet	04/27/2005	12/31/2010	1651
Full Registration	10/03/2007	11/02/2015	1314
Future Innovations to Prevent Blindness and Preserve Sight	02/23/2006	12/31/2015	9
Glaucoma	04/27/2005	12/31/2010	45
Growing Older with Good Vision Brochure	04/27/2005	12/31/2010	385
Guide for People with Glaucoma	04/27/2005	12/31/2010	1176
Halloween Safety Tips and First Aid for Eye Emergencies	04/27/2005	12/31/2010	9651
Healthy Eyes Adult Presentation Series	06/07/2010	06/07/2015	3
Healthy Eyes Feedback Survey	05/11/2010	05/11/2015	0
Healthy Eyes Monthly Vision News	08/07/2006	08/28/2013	64
Healthy Eyes Vision Wellness Program Kit	04/27/2005	01/17/2013	4459
Home Eye Test for Preschoolers	04/27/2005	12/31/2010	1558
How to Take Eye Drops Fact Sheet	04/27/2005	12/31/2010	524
Letter to the Editor	09/14/2006	12/14/2015	96
Low Vision Assistance List and Tips for Living With Low Vision Fact Sheets	04/27/2005	12/31/2010	811
Marketing Survey	02/12/2010	02/12/2015	0
Medicare Benefits Fact Sheet	04/27/2005	12/31/2010	1079
Newborn, Infant and Toddler Vision Guide	04/27/2005	12/31/2010	1827
Ohio Adult Vision Risk Assessment	07/21/2004	12/31/2015	37
Ohio Adult Vision Screening Recertification True-False Exam	03/23/2007	04/22/2015	37
Our Vision for Children's Vision	04/27/2005	07/21/2013	96
PBA Vision Screening Recertification True/False Exam	12/07/2005	01/29/2015	4
PBO Adult Vision Screening Recertification Exam	03/23/2007	04/22/2015	14
PBO Vision Screening Recertification True-False Exam Medical	12/07/2005	12/31/2010	68
PBO Vision Screening Recertification True-False Exam School	12/07/2005	12/31/2010	309
PBTX Adult Vision Screening Request Form	03/05/2008	03/05/2013	171
Play It Safe Brochure	04/27/2005	12/31/2010	445
Play It Safe With Your Eyes Curriculum	10/08/2007	11/07/2015	0
Play It Safe With Your Eyes Posttest	04/20/2010	04/20/2015	5
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	4
Prevent Blindness America News	04/27/2005	12/31/2010	238
Prevent Blindness Mid-Atlantic E News	06/11/2004	12/31/2010	67
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	215
Prevent Blindness Ohio Preschool Vision Screening Training Application	12/22/2005	12/31/2015	658
Prevent Blindness Ohio Refresher Course Evaluation	11/23/2009	11/23/2014	82
Prevent Blindness Ohio Vision Screening Recertification Exam Medical	12/07/2005	12/31/2010	44
Prevent Blindness Ohio Vision Screening Recertification Exam-Education	12/07/2005	12/31/2010	26
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	298
Protecting Your Eyes from the Sun	04/27/2005	12/31/2010	844
Questions on Eye Safety At Work Brochure	04/27/2005	12/31/2010	915
Request Certified Vision Screener Training Information	04/27/2005	12/31/2010	3690
Request Meeting Materials for Eyes on Capitol Hill 2010	02/11/2010	02/11/2015	3
Request a Kiosk Date and Location	01/14/2008	02/11/2013	8
Request a Preschool Vision Screening Training	01/14/2008	02/11/2013	8
Retinal Tears and Detachments Fact Sheet	04/27/2005	12/31/2010	780
Retinitis Pigmentosa Brochure	04/27/2005	12/31/2010	279
Safe Summer Celebrations	04/27/2005	06/05/2013	74
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	368
Signs of Possible Eye Trouble in Children	04/27/2005	12/31/2010	411
Strabismus Brochure for Parents	04/27/2005	12/31/2010	183
Subscribe to PBA E News	02/16/2005	12/31/2010	3629
Subscribe to PBNC E News	02/16/2005	12/31/2010	118
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	32
Subscribe to Prevent Blindness Wisconsin News	02/16/2005	12/31/2010	34
Uveitis Guide	04/27/2005	12/31/2010	2517
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	41
Vision Poster Request Form - Massachusetts	02/08/2010	03/08/2015	39
Wise About Eyes Contact Form	01/14/2008	01/14/2013	25
Wise About Eyes News	01/14/2008	01/14/2013	109
Wise About Eyes VSP Program Response Form	01/15/2008	01/15/2013	10
Wise Owl Contact Information	09/07/2005	12/31/2010	30
Your Child's Sight Brochure	04/27/2005	12/31/2010	608
eNewsletter	02/16/2005	12/31/2010	2805
registration	08/08/2007	09/07/2015	144

Survey List