Do you think that you may have Chronic Dry Eye?

The following questionnaire is designed to help you and your doctor better identify the likelihood that you may have dry eye.

The questionnaire should only take a minute to complete. When finished, you will be sent an email printout of these questions and your responses.

Your responses will be kept totally confidential and will not be shared with anybody.

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The only way to know for sure if you've got chronic dry eye syndrome is to have your eye doctor perform some dry eye tests during an eye exam. Symptoms alone are not all that predictive of the presence and/or severity of dry eye disease and may vary significantly from person to person.

Some people with only minimal or mild dry eyes may feel their eyes are very bothersome, while others may have significant dry eye problems and not consider their symptoms significant enough to see an eye doctor. Others still may not experience and dry eye symptoms at all.

Only a careful examination by an optometrist or ophthalmologist can reveal the presence and severity of dry eye syndrome and help your eye doctor determine the best type of dry eye treatment to keep your eyes healthy, comfortable, and seeing well.