WARNING

You are using an outdated browser. Please upgrade your browser to improve your experience.

Close [x]

Follow Us

408-739-6200

Sunnyvale Location
1010 W. Fremont Ave
Sunnyvale, CA 94087

 
Santa Clara Location
3159 Mission College Blvd.
Santa Clara, CA 95054

 

Take Our Dry Eye Quiz



Are you experiencing dry, itchy and/or irritated eyes? Take our dry eye quiz to help determine if you may have a type of Dry Eye Syndrome. 

Dry Eye Quiz: SPEED II Questionnaire

Dry Eye Disease is the most frequent reason that patients visit eye doctors. We are concerned that you may be suffering with this condition as well. Therefore, we ask that you take a few moments and thoughtfully complete the questionnaire below.

Report the FREQUENCY of dry eye symptoms you are experiencing by checking Never, Sometimes, Often or Constant using the numbering system below:

0 - Never, 1 - Sometimes, 2 - Often, 3 - Constant

Report the SEVERITY of your symptoms using the ratings list below:

0 - No problems

1 - Tolerable – not perfect but not uncomfortable

2 - Uncomfortable – irritating but does not interfere with my day

3 - Bothersome – irritating and interferes with my day

4 - Intolerable – unable to perform my daily tasks