LIFE’S CHECKLISTS · FREE WORKSHEET
Prepare a clear glasses-care question for the shop
Describe the problem without sensitive prescription or payment information. Leave repairs to the appropriate professional.
First read the completed example. Then write your own answers in the blank sections. If you do not know an answer, write what you need to ask. Official applications may require their own forms.
Completed example
This is a fictional practice entry. Write your own details in the blank sections below.
- Question part
- Part with a problem
- What I noticed
- Fictional Sam: thin mark on right lens
- What I already checked
- Gentle maker-approved cleaning removed smudges but not this mark
- Question or next action
- Ask optician whether it is damage and what options apply
Date: ____________________
Part with a problem
What I noticed
What I already checked
Question or next action
When I noticed it
What I noticed
What I already checked
Question or next action
Approved care already tried
What I noticed
What I already checked
Question or next action
Answer and follow-up
What I noticed
What I already checked
Question or next action
Notes: