ROP Awareness Survey

Retinopathy of Prematurity

This survey aims to assess public awareness regarding ROP and infant eye health. Responses will be used for research purposes only.

Personal Information

Full Name *

Email Address *

Phone Number *

Age *

Gender *

Awareness & Knowledge

1. Have you ever heard of Retinopathy of Prematurity (ROP)? *

Yes No Not sure

2. Before today, how familiar were you with eye health issues in premature infants? *

1. Not at all familiar 2. Slightly familiar 3. Moderately familiar 4. Very familiar

3. How important do you think early eye screening is for premature infants? *

Extremely Important (Crucial) Important Neutral Not Important

4. Do you know that premature infants are at higher risk for retinal diseases? *

Yes No

5. Which of the following can be symptoms or signs of ROP? (Select all that apply)

White Pupil (Leukocoria) Abnormal Eye Movement (Nystagmus) Crossed Eyes (Strabismus) No visible symptoms in early stages I don't know

Behavior & Attitude

6. Have you ever taken a child for an eye or vision screening? *

Yes No

7. What measures do you believe can help prevent vision loss in premature infants? (Select all that apply)

Strict Oxygen Therapy Control Early & Regular Eye Screening Timely Medical Intervention I don't know

8. Where do you get most of your eye health information? (Select all that apply)

Doctors / Ophthalmologists Social Media Family & Friends Scientific Articles TV / Radio Other

9. How concerned are you about eye health in newborns and infants? *

Not at all Low Moderate Concerned Very Concerned

Technology & AI Solutions

10. Do you think public awareness about ROP is sufficient? *

Yes No Maybe

11. Which technical form would you prefer for an ROP screening solution? *

Mobile App Website / Web Platform Integrated Medical Device Desktop Software

12. What is the most important feature you expect in a screening tool? *

High Accuracy Speed of Results Ease of Use Low Cost

13. Do you believe integrating AI for newborn vision screening is a medical necessity? *

Yes No Maybe

14. Comments, experiences, or suggestions (Optional)

Thank You!

Your response has been recorded successfully. We appreciate your contribution to our research.

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