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SPEED Dry Eye Questionnaire

Thank you for taking this survey

  • Thank you for completing the SPEED Questionnaire!
    This assessment is your first step toward finding relief from dry eye.

  • If your score is:
    0-4 you are experiencing MILD dry eye symptoms
    5-7 you are experiencing MODERATE dry eye symptoms
    8+ you are experiencing SEVERE dry eye symptoms

    The SPEED Questionnaire is one tool we use to help assess your dry eye symptoms. No matter what you scored on the quiz, we take your overall eye health very seriously. Please complete the information below and our office will contact you to schedule a dry eye evaluation.

If you are still interested in having your eyes checked by our The Pacific Eye Care Dry Eye Center dry eye professional Dr. Walter Yim , please click the link below.