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DEQ-5 Questionnaire

Please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

  • 1. Do you experience EYE DISCOMFORT?

  • 2. Do you experience EYE DRYNESS?

  • 3. Do you have WATERY EYES?

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PLEASE NOTE THAT WE WILL BE CLOSED ON
Saturday, March 30th and Sunday, March 31.