Dry Eye Quiz

If you are unsure if there is reason to be checked by an optometrist for dry eye, you can take the quiz below which can indicate if your eyes are dry. It is important to note, however, that if you ever have any questions or concerns about your vision, please don’t hesitate to call us at 111-222-3333 to schedule an appointment. Our staff will be happy to answer and discuss anything concerning your eye health.

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111-222-3333

Dry Eye Quiz

Dry Eye SPEED Test

Report the type of SYMPTOMS you experience and when they occur.

Select as many options as apply.

Dryness, Grittiness or Scratchiness

Soreness or Irritation

Burning or Watering

Eye Fatigue

Report the FREQUENCY of your symptoms

Dryness, Grittiness or Scratchiness

Soreness or Irritation

Burning or Watering

Eye Fatigue

Report the SEVERITY of your symptoms

Dryness, Grittiness or Scratchiness

Soreness or Irritation

Burning or Watering

Eye Fatigue

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

Do you use eye drops for lubrication?

SPEED Score

Your SPEED score is /21

We recommend anyone with a score of 8 or above to reevaluate their dry eye treatment. Do you want to schedule a dry eye evaluation?

Yes, please!

First Name

Last Name

Email

Phone number

New or returning patient?

There is a possibility that dry eye is causing the symptoms that you are experiencing and we welcome you to schedule an eye exam at PRACTICENAME. You can call 111-222-3333 or Book an Appointment and we will be happy to help you.

You may not be able to detect whether your eyes are dry on your own. However, certain symptoms can provide clues as to whether they are dry. and staff are trained and have experience in diagnosing and treating dry eye so we welcome you to schedule an eye exam at PRACTICENAME. Patients with dry eyes visit our clinic from all over STATE, and we are proud to be a leading provider of dry eye care for patients from CITY, SECONDARY1, SECONDARY2, and SECONDARY3.

Learn More

Comparing the Effectiveness, Cost, and Safety of Xiidra and Restasis for Treating Dry Eye Syndrome

Xiidra and Restasis are prescription eye drops used to relieve symptoms of dry eye syndrome by reducing inflammation and improving tear production

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Testimonials

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