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DEQ-5 Questionnaire

Please answer the following questions by checking the box that best represents your answer. Select only one answer per question.
  • 1. Do you experience EYE DISCOMFORT?

  • 2. Do you experience EYE DRYNESS?

  • 3. Do you have WATERY EYES?

Comprehensive Eye Exam - College Park



This is an Appointment Request for our College Park location.

Contact Lens Exam - College Park


This is an Appointment Request for our College Park location.

Medical Visit - College Park



This is an Appointment Request for our College Park location.

Comprehensive Eye Exam - Glenn Dale



This appointment request is for our Glenn Dale Location

Contact Lens Exam - Glenn Dale



This appointment request is for our Glenn Dale Location

Medical Visit - Glenn Dale



This appointment request is for our Glenn Dale Location