Complete Home Lighting & Eye Comfort Assessment

1. Occupant Information & Vision Health Background

This comprehensive audit will help identify lighting issues causing eye strain and discomfort in your living space. Please provide accurate information to receive personalized recommendations for creating optimal, eye-friendly illumination throughout your home.


Full Name

Home Address (optional, for solar orientation analysis)

Age Range

Primary activities you perform in your home (select all that apply)


Do you wear vision correction?




Have you been diagnosed with any of these eye conditions? (select all that apply)

Do you currently experience regular eye strain, headaches, or visual discomfort at home?


2. Room-by-Room Lighting Assessment

Please complete the table below for each room in your home. Observe each room at different times of day to capture variations in natural and artificial lighting. Rate the eye strain or squinting level you experience during each observation (1 = no strain, 5 = severe strain requiring immediate adjustment).


Room Lighting Observations

Room Name

Time of Observation

Primary Light Source

Eye Strain/Squint Level

Living Room
Morning Light
Window Sun
 
Living Room
Afternoon Slump
Overhead LED
 
Living Room
Night/Evening
Warm Table Lamp
 
Kitchen
Morning Light
Window Sun
 
Kitchen
Afternoon Slump
Overhead LED
 
Kitchen
Night/Evening
Overhead LED
 
Home Office
Morning Light
Window Sun
 
Home Office
Afternoon Slump
Overhead LED
 
Home Office
Night/Evening
Warm Table Lamp
 
Bedroom
Morning Light
Window Sun
 
Bedroom
Night/Evening
Warm Table Lamp
 
Bathroom
Morning Light
Overhead LED
 
Bathroom
Night/Evening
Overhead LED
 

Did you notice any rooms that appear dark or shadowy even when lights are turned on?


Are there any rooms where lighting feels excessively harsh, causing glare or discomfort?


3. Artificial Lighting Fixture Inventory

Provide details about your current artificial lighting fixtures to identify potential sources of eye strain related to bulb type, placement, or intensity.


Total number of overhead light fixtures in your home

What types of light bulbs are predominantly used in your home? (select all that apply)



What color temperatures (in Kelvin) are your bulbs? Check packaging or manufacturer specs if uncertain.

Do you have dimmer switches installed for any overhead lights?


Do you use task lighting (desk lamps, reading lamps, under-cabinet lights)?


Are any lights positioned causing direct glare into your eyes or reflective glare on screens?


4. Natural Light & Window Assessment

Understanding your natural light sources helps balance daylight with artificial lighting to reduce eye strain throughout the day.


What is the primary orientation of your main windows?

What window coverings do you have? (select all that apply)

Do external factors block natural light (buildings, trees, awnings)?


Do you experience intense glare or heat from direct sunlight at certain times?


What type of glass is in your main windows?

5. Eye Comfort & Health Symptoms Analysis

Detailed symptom analysis helps correlate lighting conditions with specific visual discomfort patterns.


How frequently do you experience eye strain in your home?

Which specific symptoms do you experience? (select all that apply)



When are symptoms typically at their worst? (select all that apply)

Which activities or tasks cause the most eye strain? (select all that apply)



Have you ever had an eye exam specifically due to home lighting-related discomfort?


6. Technology & Screen Usage Patterns

Screen usage patterns and device settings significantly impact eye strain, especially when combined with poor ambient lighting.


Average daily screen time (hours) on all devices combined

Which devices do you regularly use at home? (select all that apply)

How do you typically set your screen brightness?

Do you use blue light filtering features on your devices (Night Shift, Night Mode, f.lux)?


How far is your primary screen from the nearest window?

Do you experience screen reflections or glare from overhead lights or windows?


7. Lighting Control & Automation Systems

Understanding your current control systems helps identify opportunities for creating dynamic, adaptive lighting that supports your circadian rhythm and visual comfort.


How do you currently control your lights? (select all that apply)

Do you have any smart home lighting integration?

Can you easily adjust lighting levels throughout the day without major inconvenience?


Do you use automated lighting schedules (e.g., gradual brightening in morning, dimming at night)?


8. Desired Improvements & Priority Ranking

Help us understand your goals and priorities for creating a more visually comfortable living environment.


Which rooms would you prioritize for lighting improvements? (select up to 3)

What types of lighting improvements interest you most? (select all that apply)



Rank these lighting improvement goals in order of importance to you (drag to reorder, 1 = most important):

Reduce eye strain and headaches

Improve energy and alertness

Enhance room aesthetics

Save energy and reduce costs

Support better sleep

Increase property value

What is your preferred overall lighting quality?

9. Budget & Implementation Preferences

Your budget and implementation preferences help tailor realistic, actionable recommendations.


What is your approximate budget range for lighting improvements?

What is your preferred timeline for implementing changes?

How do you prefer to implement lighting changes?

How important is energy efficiency and sustainability in your lighting choices? (1 = not important, 5 = extremely important)

Are you open to trying non-traditional lighting solutions (e.g., bias lighting behind screens, light therapy lamps, tunable white systems)?


10. Additional Observations & Next Steps

Please provide any additional details that will help us create a comprehensive lighting improvement plan tailored to your specific needs.


Any other observations about your lighting or eye comfort that weren't covered?

Preferred method for receiving your personalized lighting audit report and recommendations

Would you like to receive periodic follow-up check-ins to assess improvement progress?


Signature (for professional audit verification)

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