"*" indicates required fields NameThis field is for validation purposes and should be left unchanged.Name*Phone*Email* Instructions: Answer each question with Yes or No. 1. Do your eyes often feel dry, gritty, or sandy?* Yes No 2. Do you frequently experience stinging or burning sensations in your eyes?* Yes No 3. Are your eyes often red or irritated?* Yes No 4. Do you feel like something is in your eye even when there isn’t?* Yes No 5. Do your eyes water excessively, especially in windy or dry environments?* Yes No 6. Do your eyes feel tired or heavy, especially after reading or using a screen?* Yes No 7. Do you have fluctuations in vision?* Yes No 8. Do you find yourself blinking more often or rubbing your eyes for relief?* Yes No 9. Are your eyes sensitive to light (photophobia)?* Yes No 10. Do you wear contact lenses and find them uncomfortable or irritating?* Yes No 11. Is your average screen time more than 8 hours a day?* Yes No Scoring 0–2 Yes Answers: Low likelihood of dry eye. Symptoms may be situational or due to another issue. 3–5 Yes Answers: Moderate symptoms. You may have mild to moderate dry eye. A check-up is a good idea. 6 or more Yes Answers: High likelihood of dry eye syndrome. It’s advisable to consult an eye care provider. Even if you don’t have symptoms, dry eye screening is important. Dry eye disease can develop silently - without noticeable discomfort - yet still cause long-term permanent damage. Since it’s a progressive condition, early detection is key to preventing irreversible harm and maintaining overall eye health. Advanced Eye Care doesn’t just treat dry eye symptoms with eye drops, we have advanced technology and offer treatments for the source of dry eye disease. Call our office to learn more and make an appointment today! 210-342-1228.
