VivaQuity AMD Risk Assessment
Complete the following information questions to calculate your predicted risk of developing AMD, 
and to generate a management plan to reduce and optimise your risk
Health Step 1 of 5
   
Cataract surgery: select the option that best applies
   
Cholesterol: select the option that best applies
   
Blood pressure: select the option that best applies
   
Diabetes: select the option that best applies
   
Body Mass Index (BMI)       Select units 
   
Your BMI
   
When did you last have a medical check-up?
 
   
Diet Step 2 of 5
   
Select the number of portions of fruit and vegetables that you eat each day
   
Select the number of portions of fish and/or shellfish you eat each week
   
Select the option that best describes the anti-oxidant supplements   
that you have taken on a daily basis for the past three months
   
Select the option that best describes the omega-3 fatty acids   
that you have taken on a daily basis for the past three months
 
   
Lifestyle Step 3 of 5
   
If you smoke now or have smoked in the past, please select the option   
that best represents you smoking habits
   
Are you exposed to second-hand smoke?   
Select the option that best represents your exposure
   
   
Prolonged exposure to sunlight outdoors, without protective lenses,   
can be a risk for developing macular damage.    
Select an option which best describes your exposure.
 
   
General Info Step 4 of 5
   
Name:
   
Your age effects the risk of AMD. Please enter you age:
   
AMD risk varies with ethnicity, please describe your ethnicity:
   
AMD risk varies with gender, please select your gender:
   
Describe your need for glasses:
   
Please select your iris colour:
   
Has either of your parents or any siblings been diagnosed with AMD:
 
   
 
Clinical section Step 5 of 5
 
 
Genetic status if known
 
Is visually consequential AMD present in the fellow eye?
 
Soft drusen
 
Pigmentary changes
 
Macular pigment (enter 1 if unknown)
 
Rod recovery function
 
 
VivaQuity AMD risk assessment  
 
 
The personalised report contains lifestyle change recommendations  
 to help reduce the risk of vision loss as a consequence of AMD.
   
Result for
 
 
 
 
 
 
 
 
 
 
 
 
The upper line in the graph represents the path you are on based upon your current lifestyle choices.
The lower line represents a revised pathway based upon implementation of your personal recommendations 
YOUR PERSONAL RECOMMENDATIONS
Smoking
Second-hand smoke
Supplements
Omega-3
Body Mass Index (BMI)
Diabetes
Light
Fruit and vegetables
Cholesterol
Fish and shellfish
Blood pressure
Medical check