Complete the Test4Retina questionnaire

Answer the following questions to obtain your risk factor assesment for AMD.

* Age

* Sex

* Medical History

Myocardial infarction

Atherosclerosis

Hypercholesterolemia

* Weight and heightThe decimal symbol is comma, not point.

* Family history of AMD

Father

Mother

Sibling

* Smoking

* Alcohol consumption

Wine
Beer

* Oily fish consumptionSalmon, anchovy, herring, tuna, etc.

* Eggs consumption

* Green leafy vegetables consumptionSpinach, green beans, peas, etc.

* Fruits and fruit juices consumption

* Omega3-rich oils consumptionSoy, nuts, hazelnuts, etc.

* Iris Color

* Glass calibration for far vision