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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?

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Please note the practice will be closed on the following dates during the month of May:

20, 21, 27, 28, 30