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Dry Eye Assessment

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Is Dry Eye Affecting Your Day?

Take our quick questionnaire to find out.

At Crystal Vision & Better Hearing, we understand how much your eyes matter in your everyday life. If you’ve noticed your eyes feeling irritated, dry, or just not quite right, you’re not alone. Many people experience dry eye symptoms without realizing how treatable they can be. This short questionnaire will help us better understand what you’re experiencing so we can provide you with the best care and solutions.
It only takes a few minutes—and it’s a step toward clearer, more comfortable vision.

Dry Eye Questionnaire

1. Which symptoms have you experienced recently?(Required)
2. When do these symptoms occur?(Required)
3. How often do you notice these symptoms?(Required)
4. How much do your symptoms affect your daily activities?(Required)
5. Have you used eye drops or artificial tears to relieve your symptoms?(Required)
If yes, how often do you use them?
Your input helps us provide the best possible care.

What’s next?

Dry eye can be more than just an inconvenience—it can affect how you work, drive, read, or enjoy time with family and friends. The good news is that you don’t have to put up with it. There are solutions that can make a real difference.
Add your name, phone number and email address to see your results:

Name(Required)
New or returning patient?(Required)
Crystal Vision & Better Hearing