Skip to main content

Please note that no shows and late cancellations are subject to a fee

calendar
phone
Home » Eye Care Services » Dry Eye » Dry Eye Questionnaire

Dry Eye 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?

  • Hidden