DRY EYE QUESTIONNAIRE (DEQ-5)

  1. 1. Questions about EYE DISCOMFORT:
    • a. During a typical day in the past month, how often did your eyes feel discomfort?
      Never
      Rarely
      Sometimes
      Frequently
      Constantly
      0
      1
      2
      3
      4
    • b. When your eyes felt discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed?
      Never Have It
      Not Intense
       
       
      Very Intense
      0
      1
      2
      3
      4
  2. 2. Questions about EYE DRYNESS:
    • a. During a typical day in the past month, how often did your eyes feel dry?
      Never
      Rarely
      Sometimes
      Frequently
      Constantly
      0
      1
      2
      3
      4
    • b. When your eyes felt dry, how intense was this feeling of dryness at the end of the day, within two hours of going to bed?
      Never Have It
      Not Intense
       
       
      Very Intense
      0
      1
      2
      3
      4
  3. 3. Questions about WATERY EYES
    • During a typical day in the past month, how often did your eyes look or feel excessively watery?
      Never
      Rarely
      Sometimes
      Frequently
      Constantly
      0
      1
      2
      3
      4
0
Your Cart
Thank You For Taking This Survey
YOUR Score =