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Verteporfin photodynamic therapy for neovascular age-related ...

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DOI: 10.3310/hta16060Health Technology Assessment 2012; Vol. 16: No. 6187(if other, who?)VISIT FROM OCCUPATIONAL THERAPISTQ14 a) During the past three months, have you been visited at home byan occupational therapist because of your eye condition (to findout if you need any changes to your home because of your eyecondition)?b) If yes, how many times?yesnoNo. times___________Q15 During the past three months, have you had any changes done toyour home because of your eye condition (improved lighting,other methods <strong>for</strong> enhancing contrast, changes to cooker, etc.)?yes noIf no, go to Q17Interviewer comments about any changes described:Q16 If yes, did you have to pay <strong>for</strong> the changes? How much did theycost?(enter cost, £)HOME HELP / SOCIAL SERVICESQ17 a) During the past three months, have you had social services homehelp because of your eye condition?b) If yes, how many hours per week has the home help done?yesno(hrs/week)Q18 a) During the past three months, have you had a private home helpbecause of your eye condition?b) If yes, how many hours per week has the home help done?yesno(hrs/week)Q19 a) During the past three months, have you had meals on wheelsbecause of your eye condition?b) If yes, how many times per week have you had meals onwheels?yesno(meals/week)© Queen’s Printer and Controller of HMSO 2012. This work was produced by Reeves et al. under the terms of a commissioning contract issued by theSecretary of State <strong>for</strong> Health.

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