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Home » Eye Care Services » Dry Eye » SPEED™ Questionnaire

SPEED™ Questionnaire

SPEED™ Questionnaire


  • For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

    1. Report the type of SYMPTOMS you experience and when they occur:

  • 2. Report the FREQUENCY of your symptoms using the rating list below:

    0 = Never
    1 = Sometimes
    2 = Often
    3 = Constant

  • 3. Report the SEVERITY of your symptoms using the rating list below:

    0 = No Problems
    1 = Tolerable - not perfect, but not uncomfortable
    2 = Uncomfortable - irritating, but does not interfere with my day
    3 = Bothersome - irritating and interferes with my day
    4 = Intolerable - unable to perform my daily tasks
  • Add your name, phone number and email address to see your results:

  • Click “submit” to see your SPEED score results.

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Reduced Staff and Office Hours

Our office will remain open for patients who are experiencing any eye-related issues, including emergency visits, non-routine exams to replace lost or broken glasses and refilling of contact lens prescriptions. We will be working reduced hours, with a skeleton staff. Please call before coming into the office, as we will not be seeing any walk-ins. We are also offering telehealth for patients experiencing any eye-related infections for those who are unable to or are not comfortable coming into the office.

We appreciate your understanding in working to keep our staff and patients safe. Please take good care of yourself and stay healthy! We will get through this!

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