Dry Eye Speed Test - Guthrie Optometry

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Dry Eye Speed Test

Dry Eye Speed Test

If you’re suffering from dry eyes, take our Dry Eye Speed Test to get a better understanding of your symptoms. Once completed, we’ll be able to provide you with management and treatment options.

Step 1 of 4

25%

Symptoms

Report the TYPE OF SYMPTOMS you experience and when they occur. Please check all boxes that apply to you.

Dryness, Grittiness, or Scratchiness(Required)

At this visit

Within the past 72 hours

Within the past 3 months

Soreness or Irritation(Required)

At this visit

Within the past 72 hours

Within the past 3 months

Burning or Watering(Required)

At this visit

Within the past 72 hours

Within the past 3 months

Eye Fatigue(Required)

At this visit

Within the past 72 hours

Within the past 3 months

Frequency

Report the FREQUENCY of your symptoms.

Dryness, Grittiness, or Scratchiness(Required)

Never

Sometimes

Often

Constantly

Soreness or Irritation(Required)

Never

Sometimes

Often

Constantly

Burning or Watering(Required)

Never

Sometimes

Often

Constantly

Eye Fatigue(Required)

Never

Sometimes

Often

Constantly

Severity

Report the SEVERITY of your symptoms.

Dryness, Grittiness, or Scratchiness(Required)

No Problems

Tolerable - not perfect, but not uncomfortable

Uncomfortable - irritating, but does not interfere with my day

Bothersome - irritating and interferes with my day

Intolerable - Unable to perform my daily tasks

Soreness or Irritation(Required)

No Problems

Tolerable - not perfect, but not uncomfortable

Uncomfortable - irritating, but does not interfere with my day

Bothersome - irritating and interferes with my day

Intolerable - Unable to perform my daily tasks

Burning or Watering(Required)

No Problems

Tolerable - not perfect, but not uncomfortable

Uncomfortable - irritating, but does not interfere with my day

Bothersome - irritating and interferes with my day

Intolerable - Unable to perform my daily tasks

Eye Fatigue(Required)

No Problems

Tolerable - not perfect, but not uncomfortable

Uncomfortable - irritating, but does not interfere with my day

Bothersome - irritating and interferes with my day

Intolerable - Unable to perform my daily tasks

Your Information

Let us know a bit of information about you so we can follow up with you. After submitting your answers, you'll receive your results.

Name(Required)

First Last

Email

Sex(Required)

Male

Female

Date of Birth(Required)

Hidden

Score

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

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7786 Wyandotte St E
Windsor, ON N8S 4E5
(519) 945-8000
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