Get Speed Ii Questionnaire - Omni Eye

The SPEED II Questionnaire - Omni Eye is designed to help assess your experience with dry eye disease. This guide provides step-by-step instructions to fill out the questionnaire accurately and efficiently, ensuring that your symptoms and needs are clearly communicated.

Follow the steps to complete the SPEED II Questionnaire online.

1. To obtain the form, click the ‘Get Form’ button and open it using your preferred method of accessing digital documents.
2. Begin by entering your name in the designated fields. Make sure to fill in your last name first, followed by your first name.
3. Provide your date of birth in the format of month/day/year.
4. Select your sex by circling the appropriate letter: M for Male or F for Female.
5. Reflect on your symptoms over the past three months. For each symptom listed, indicate the frequency of occurrence by checking Never, Sometimes, Often, or Constant, using the numeric scale provided.
6. Next, evaluate the severity of your symptoms. For each symptom, report the severity using the provided scale from 0 to 4.
7. Mark whether you have experienced symptoms today, within the last 72 hours, or within the past three months by placing a mark in the appropriate section.
8. Indicate if you use eye drops or ointment by circling YES or NO. If you answered YES, specify which drops you use.
9. Answer the questions regarding blepharitis or styes by circling YES or NO for each condition.
10. Lastly, assess whether you have fluctuating vision problems and circle your response, based on your experience.
11. Once you have completed all sections, review your responses for accuracy before saving, downloading, printing, or sharing the completed form.

Complete your SPEED II Questionnaire - Omni Eye online today to ensure your eye care needs are addressed.