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Dry Eye Survey

These questions are related to Eye Discomfort, Eye Dryness and Watery Eyes for a typical day in the past month. The answers to the questions either have a frequency scale of 0 (never) to 4 (constantly) or a severity scale of 0 (never) to 5 (very intense). Results that score greater than 6 suggest Dry Eye is present and results greater than 12 may require further testing to rule out Sjögren's syndrome.

1. How often did your eyes feel discomfort:
0 – Never 1 2 3 4 – Constantly
2. When your eyes felt discomfort, how intense was this feeling of discomfort at the end of the day?
0 – Never 1 2 3 4 5 – Very intense
3. How often did your eyes feel dry?
0 – Never 1 2 3 4 – Constantly
4. When your eyes felt dry, how intense was this feeling of dryness at the end of the day, within 2 hours of going to bed?
0 – Never 1 2 3 4 5 – Very intense
5. How often did your eyes look or feel excessively watery?
0 – Never 1 2 3 4 – Constantly
 
 


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

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