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* Patient Survey *

RISK
ASSESSMENT PROFILE

Please take the following questionnaire to see if you are at risk:
* I am over 30 years of age.
* I have one or more of the following conditions: high blood pressure, high cholesterol, heart disease, or diabetes.
* I have close relatives that have been diagnosed with macular degeneration (i.e. parents, grandparents,siblings.)
* I smoke cigarettes; or have smoked cigarettes within the last 5 years.
* I consume more than 10 alcoholic beverages per week.
* I don’t regularly wear sunglasses when outside or driving.
* I eat less than three servings of vegetables or fresh fruit per day.
* I exercise very little.
* I have high levels of stress.
* I rarely take vitamins.

If you have answered yes to 4 or more items you may be at risk. Please ask us about the latest advances in nutritional supplements that can possibly lower your risk of developing certain eye diseases and help to keep your eyes healthy and functioning properly.

EYE HEALTH VITAMINS
It is important for adults to consume a multivitamin daily in order to maintain proper health conditions. Our doctors can determine whether OcularProtect, MacularProtect, or HydroEye is right for you and your eye health.
OcularProtect
OcularProtect is recommended to aid in keeping the eyes and your body healthy. This vitamin has 40 essential vitamins, minerals and other important nutrients that are beneficial to the body. The combination of ingredients include vitamins C and E as well as lipoic acid in order to help neutralize the effects of ultraviolet rays and pollutants that can affect the lens of the eye and the retina. New studies are leading to the belief that a diet high in zeaxanthin and lutein can help in the protection of our vision as we age. Other ingredients found in the vitamin aid in cell protection and skin health.
MacularProtect
It is important for people that are at higher risk for macular degeneration to protect their vision. We recommend MacularProtect for those patients that want to maintain the sharpest vision possible. The combinations of antioxidants and zinc have shown great results in maintaining the health of the macula. The MacularProtect Complete formula is safe for non-smokers and has a safe dose of lutien and other vitamins and minerals that are important to your health. The MacularProtect Plus formula is safe for smokers. It contains a lower dose of beta-carotene, while still combining an appropriate level of essential vitamins and minerals.
HydroEye
HyrdroEye is another vitamin that our office recommends. This vitamin is recommended to patients that suffer from chronic dry eye syndrome. The vitamin itself helps provide relief of dry eye that can be caused by age, LASIK surgery, contact lens wear, computer use, or a tear deficiency. The ingredients combined in the vitamin help dampen inflammation and aid in the development of a healthy tear film. This vitamin has also shown to reduce or replace the need of eye drops for those who suffer from dry eye.

For more information and a complete list of supplement facts please visit contact our office or visit www.sciencebasedhealth.com.