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  • Dry Eye Questionnaire

    (SPEED) Standardized patient evaluation of eye dryness
  • 1. Report the type of symptoms you are experiencing and when they occur:

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  • 2. Report the frequency of your symptoms using the rating list below:

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  • 3. Report the severity of your symptoms using the rating list below:

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  • 4. Do you use eye drops for lubrication?

  • Should be Empty: