Dry Eye Self-Test
Have you ever been diagnosed with, or do you think you might have, dry eyes?
Do you have environmental allergies?
Do you spend more than 2 hours per day reading a computer screen, tablet, cell phone, newspapers/magazines, documents, books, watching TV, or driving a car?
Do you ever experience any of the following eye symptoms? Please check all that apply.
Excessive tearing or watery eyes
Tired eyes or eye fatigue
Mucus in your eyes
Contact lens intolerance or discomfort
Scratchy or gritty feeling
Blurry or fluctuating vision
Simply feeling as though you want to close/rest your eyes?
Do you wear contact lenses?
Do you use any over-the-counter eye drops such as artificial tears, allergy drops, Visine, etc.?
Do you use any prescription eye drops?
Do you take, or have you ever taken, any of the following medications? Please check all that apply.
Antidepressant or anti-anxiety medications
Birth control pills
Hormone replacement therapy (estrogen and/or progesterone)
Anti-hypertensives (e.g., diuretics, beta-blockers)
Chemotherapy and/or radiation
Concierge Consulting Services
Styes and Chalazia
Eye Exams, Eyeglasses, and Contact Lenses
LASIK, PRK & LASEK
Blepharitis and Ocular Rosacea
Meibomian Gland Dysfunction (MGD)
Dry Eye Deserves Attention
Does Symptom Free Mean Dry Eye Free?
Dry Eye and Screen Time
Neurostimulation for Dry Eye
Dry Eye in Children/Adolescents
Smartphone Use and Pediatric Dry Eye