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Located in Wuse, Gudu and Utako
Wuse: +234-808-358-8730
Gudu: +234-810-840-6080
Utako:+234-818-433-9441
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Dry Eye Assessment Questionnaire
Take The Assessment
After you consider each question, select the option that applies to the person you are assessing.
During a typical day in the past month, how often did your eyes feel discomfort?"
*
Never
Rarely
Sometimes
Frequently
Constantly
Please Select An Option
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
Rarely
Sometimes
Frequently
Constantly
Please Select An Option
During a typical day in the past month, how often did your eyes feel dry?"
*
Never
Rarely
Sometimes
Frequently
Constantly
Please Select An Option
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
Rarely
Sometimes
Frequently
Constantly
Please Select An Option
During a typical day in the past month, how often did your eyes look or feel excessively watery?"
*
Never
Rarely
Sometimes
Frequently
Constantly
Please Select An Option
Continue to see your assessment results.
Parent or Guardian Name is required
Email is required
Phone is required
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