Color Vision Test Questionnaire
Help us assess your color vision by answering the following questions honestly and carefully.
Full Name
*
First Name
Last Name
Age
*
Gender
*
Male
Female
Non-binary
Prefer not to say
Do you have a family history of color vision deficiency (color blindness)?
*
Yes
No
Not sure
Have you ever been diagnosed with a color vision deficiency?
*
Yes
No
How often do you have difficulty distinguishing between the following color pairs?
*
Rows
Never
Rarely
Sometimes
Often
Always
Red and Green
1
2
3
4
5
Blue and Purple
6
7
8
9
10
Brown and Green
11
12
13
14
15
Yellow and Orange
16
17
18
19
20
Pink and Grey
21
22
23
24
25
Do you have difficulty identifying traffic lights or colored signs?
*
Yes, frequently
Sometimes
Rarely
Never
How confident are you in your ability to accurately name colors?
*
Not confident at all
1
2
3
4
5
6
7
8
9
Extremely confident
10
1 is Not confident at all, 10 is Extremely confident
Have you ever received professional testing for color vision?
*
Yes
No
Please describe any situations where color vision issues have affected your daily life (e.g., at work, school, or home).
Would you like to provide any additional comments or feedback regarding your color vision?
Submit Questionnaire
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