Dry Eye Quiz

Take Our Dry Eye Quiz

Report the FREQUENCY of the above-checked symptoms as Never, Sometimes, Often, or Constant using the numbering system below:
​​​​​​​0 = Never
1 = Sometimes
2 = Often
3 = Constant

Dryness, Grittiness, or Scratchiness

Soreness, or Irritation

Burning, or Watering

Eye Fatigue

Report the SEVERITY of your symptoms using the rating list below:
0 = No Problems
1 = Tolerable - not perfect, but not uncomfortable
2 = Uncomfortable - irritating, but does not interfere with my day
3 = Bothersome - irritating and interferes with my day
4 = Intolerable - unable to perform my daily tasks

Dryness, Grittiness, or Scratchiness

Soreness, or Irritation

Burning, or Watering

Eye Fatigue

Contact Info

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