Dry eye questionnaire

Just so you know - There is no obligation to book an appointment and your details are not stored on our system or shared with anyone else.

There are many possible reasons for dry eye but a good questionnnaire is a great place to start. Simply fill out the questionnaire below and we will reply with a score and offer further assistance. 

Name *
Name
During a typical day in the past month, HOW OFTEN did your eyes feel discomfort?
When your eyes felt discomfort, HOW INTENSE was this feeling of discomfort at the end of the day, within two hours of going to bed?
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?
During a typical day in the past month, HOW OFTEN did your eyes look or feel excessively watery?