Dry Eye Quiz

Suffering With Dry and Irritated Eyes?

At Columbus Ophthalmology Associates, we offer a range of revolutionary treatments, beyond drops. Take this short quiz and a member of our Dry Eye Team will reach out to you to discuss how we might be able to help you find relief.

do or do not , there is no try

What is your age?

Under 18

19 - 39

40 - 59

60+

Which of the symptoms below do you experience with your eyes on a recurring basis? Please check all that apply.

Dryness/Grittiness

Eye fatigue

Watery Eyes/Excess Tears

Light Sensitivity

Redness

Irritation or itchiness

Burning

Discharge or crusty eyes in the morning

Blurry vision

Do any of the above symptoms affect the following? Please check all that apply.

Driving

Reading

Watching TV

Using a computer, smartphone or tablet

How often do your eyes bother you?

Rarely

Sometimes

Often

Constantly

How severe would you rate the symptoms above, on average?

No problems

Tolerable (not perfect, but not uncomfortable)

Uncomfortable (irritating but doesn’t interfere with my day)

Bothersome (irritating and interferes with my day)

Intolerable (unable to perform daily tasks)

Do your dry eyes seem to be getting worse?

Yes

No

Would you be interested in scheduling a consultation with a dry eye specialist to schedule a detailed dry eye diagnostic exam?

Yes, please contact me!

Maybe down the road

No

Finalize Your Evaluation

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