Dry Eye Quiz

Dry Eye Questionnaire

Questions about EYE DISCOMFORT:

During a typical day in the past month, how often did your eyes feel discomfort?

When your eyes feel discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed?

Questions about EYE DRYNESS:

During a typical day in the past month, how often did your eyes dry?

When your eyes feel discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed?

Questions about WATERY EYES:

During a typical day in the past month, how often did your eyes look or feel exessively watery?

Contact information (Optional)

If you would like someone from our team to reach out about a consultation for your dry eyes, please put your contact information here:
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Questionnaire Results

Thank you for completing the Dry Eye Questionnaire!
This assessment is your first step toward finding relief from dry eye.

Your Score:

If your score is:

  • 0-4 you are experiencing MILD dry eye symptoms

  • 5-7 you are experiencing MODERATE dry eye symptoms

  • 8+ you are experiencing SEVERE dry eye symptoms


The Questionnaire is one tool we use to help assess your dry eye symptoms. No matter what you scored on the quiz, we take your overall eye health very seriously.

Reference:
Chalmers RL, Begley CG, Caffery B. Validation of the 5-Item Dry Eye Questionnaire (DEQ-5): Discrimination across self-assessed severity and aqueous tear deficient dry eye diagnoses. Cont Lens Anterior Eye. 2010 Apr;33(2):55-60.