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Gudu +234-810-840-6080

Utako +234-818-433-9441

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- Our Optometry Team
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Home » Patients » Patient Forms » Dry Eye Questionnaire

Dry Eye 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?
a. During a typical day in the past month, how often did your eyes feel discomfort?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
b. When your eyes felt discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
2. Do you experience EYE DRYNESS?
a. During a typical day in the past month, how often did your eyes feel dry?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
b. When your eyes felt dry, how intense was this feeling of dryness at the end of the day, within two hours of going to bed?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
3. Do you have WATERY EYES?
During a typical day in the past month, how often did your eyes look or feel excessively watery?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
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De-Lens Ophthalmics

Plot 2425 Herbert Macaulay Way, Zone 4, Suite G14 Febson Mall
Abuja, FC 900004

Phone: 234 909 349 9944

Monday: 9:00 AM - 6:00 PM
Tuesday: 9:00 AM - 6:00 PM
Wednesday: 9:00 AM - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 6:00 PM
Saturday: 9:00 AM - 2:00 PM
Sunday: Closed

De-Lens Ophthalmics

Plot 1080 Joseph Gomwalk Street, Suite 006, Bahamas Plaza
Gudu, FC 900104

Phone: 234 810 840 6080

Monday: 9:00 AM - 6:00 PM
Tuesday: 9:00 AM - 6:00 PM
Wednesday: 9:00 AM - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 6:00 PM
Saturday: 9:00 AM - 2:00 PM
Sunday: Closed

De-Lens Ophthalmics

Life Point Medical Centre Building, 64 Moses Majekodunmi Crescent
Utako, FC 900108

Phone: 234 818 433 9441

Monday: 9:00 AM - 6:00 PM
Tuesday: 9:00 AM - 6:00 PM
Wednesday: 9:00 AM - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 6:00 PM
Saturday: 9:00 AM - 2:00 PM
Sunday: Closed

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De-Lens Ophthalmics - Located at Life Point Medical Centre Building, 64 Moses Majekodunmi Crescent, Utako, FC 900108. Phone: 234 818 433 9441 . https://www.delensng.com

De-Lens Ophthalmics - Located at Plot 1080 Joseph Gomwalk Street, Suite 006, Bahamas Plaza, Gudu, FC 900104. Phone: 234 810 840 6080 . https://www.delensng.com

De-Lens Ophthalmics - Located at Plot 2425 Herbert Macaulay Way, Zone 4, Suite G14 Febson Mall, Abuja, FC 900004. Phone: 234 909 349 9944 . https://www.delensng.com

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