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* 1. Please specify your age category

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* 2. Please specify your gender

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* 3. Please specify in which country do you currently live?

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* 4. What is your level of education?

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* 5. What is your race?

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* 6. Have you received a glaucoma diagnosis?If the answer below is No, please move to question 17.

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* 7. For how many years have you been diagnosed with glaucoma? 

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* 8. Is your condition managed with glaucoma drops?

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* 9. Have you had any glaucoma laser treatment?

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* 10. Have you had any surgical procedure for the management of your glaucoma?

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* 11. Did you suffer any psychological consequences from receiving a glaucoma diagnosis? If so, which?

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* 12. Are you happy with the level of knowledge you have about your glaucoma condition and treatment?

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* 13. Are you happy with the level of glaucoma care you receive in your country?

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* 14. If you have answered no to Question 13, what would you like to be changed/improved?

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* 15. What are the biggest challenges you face with your treatment?

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* 16. How easy is it in your country to see a glaucoma specialist/consultant?

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* 17. Are you aware of any patient support organisations for glaucoma in your country?

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* 18. If you are not aware of a patient support organisation for glaucoma in your country, do you think such an organisation would be helpful for you/other patients?

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* 19. If you have answered yes to Question 17:
Do you receive educational material by your local glaucoma patient support organisation?

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* 20. If you have answered yes to Question 17:
Do you participate in events organised by your local glaucoma organisation?

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* 21. Would you be willing to receive educational material/further questionnaires by the European Glaucoma Society? If yes please add your email address in the empty space below.

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* 22. Would you be happy to be informed about future events organised by the European Glaucoma Society for glaucoma patients?

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* 23. The European Glaucoma Society is planning to involve patients in designing better glaucoma care initiatives.
As part of this initiative we would like to ask you if you could specify, in your opinion, what should be the glaucoma research priorities of the future.

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