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Dry Eye Self Test

Let’s face it, chronic dry eye is frustrating and can be super uncomfortable.
From daily pain after using your eye drops, to waiting months just to see a slight improvement, it can be a lot to handle. More than that, if your symptoms go unchecked, your dry eye can get worse over time.

Take this self-assessment and see how your chronic dry eye has been affecting you and set your next steps.

Section 1: Contact Info

Section 2: Dry Eye Questions

1. Questions about EYE DISCOMFORT

During a typical day in the past month, how often did you eyes feel discomfort? 
When your eyes feel discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed?

2. Questions about EYE DRYNESS

During a typical day in the past month, how often did your eyes feel dry?
When your eyes felt dry, how intense was this feeling of dryness at the end of the day, within two hours of going to bed?

3. Questions about WATERY EYES

During a typical day in the past month, how often did your eyes look or feel exessively watery?

Thank you for submitting your Dry Eye Self Assessment!

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