Get Dry Eye Evaluation

The Dry Eye Evaluation is an important online form designed to help assess your eye health and identify potential dry eye issues. This guide will provide you with clear instructions on how to complete the evaluation accurately and efficiently.

Follow the steps to fill out the Dry Eye Evaluation form.

1. Press the ‘Get Form’ button to access the Dry Eye Evaluation form and open it in your selected editor.
2. Begin by filling out your personal details. Enter your name and birthday in the designated fields to ensure the medical team can properly identify and assess your evaluation.
3. Next, you will address how often you experience various symptoms. For each listed symptom, select an option from 'Never' to 'Sometimes' by marking the relevant box.
4. Proceed to the section regarding sensitivity to environmental factors. Indicate how often you encounter discomfort from items like smoke, light, and air pollution by checking the appropriate box.
5. In the average daily computer time section, provide an estimate of hours spent in front of a computer. Choose from the provided options based on your usage.
6. Respond to the questions about any previous diagnoses by indicating 'Yes' or 'No' for each condition listed, including thyroid abnormalities and rheumatoid arthritis.
7. Answer the questions relating to your experiences, such as contact lens discomfort and eyestrain, marking your responses accordingly.
8. Finally, review your responses to ensure all details are accurate. If your score is 30 or higher based on the evaluation criteria, you may want to reach out for further evaluation.
9. Once you have confirmed that all information is correct, save your changes. You can choose to download, print, or share the completed form as needed.

Take the next step in managing your eye health by completing the Dry Eye Evaluation online today.