Dry Eye Quiz

SPEED™ Questionnaire

For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

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What symptoms are you experiencing?*
Do you suffer from any of the following?*
What is your usual environment?*
What best describes you?*
Do you wear contact lenses?*
Did you have LASIK Laser Eye Surgery?*
How many glasses of water do you drink in a day?*
What is your diet like?*
Are you often surrounded by cigarette smoke?*
Do you take any medication?*
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