EYESPOT Dry Eye Questionnaire
Do you have any of the following eye symptoms?
Dryness, Grittiness or Scratchiness
Soreness or irritation
Burning or watering
How often do you experience your dry eye symptoms?
What treatments have you tried for your dry eyes?
Restasis Xidraa and/or Steroid drops
Intense Pulsed Light treatment
Are you satisfied with your current dry eye treatment?
Would you be interested in learning more about the latest advances in Dry Eye treatments?
Email Address (optional)
Never submit passwords through Google Forms.
This form was created inside of Eyespot.
Terms of Service