After two years of begging, I finally got my hands on a near vision chart. It's pretty straightforward, like every vision chart, you have the student read the symbols. Unfortunately though, there's a symbol I can't explain in this one. Is it an apple without the stem? A deformed heart? Or, the kids' favorite, a butt? I don't know, but I wish whoever (whomever?) invented this chart thought about the children that would be looking at them.