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Helga F. Vizio, MD, FACS Aaron N. Waite, MD Jeffrey K. Austin, OD, FAO Tel: 702.485.5000 Fax: 702.485.5001 Dry Eye Screening Questionnaire Thank you for making an appointment with New Eyes. Many patients
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How to fill out dry eye screening questionnaire

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How to fill out a dry eye screening questionnaire:

01
Begin by carefully reading each question on the questionnaire. Pay close attention to any specific instructions or guidelines provided.
02
Provide accurate and honest answers to each question. It's important to provide detailed information about your eye health and any symptoms you may be experiencing.
03
If you are unsure about how to answer a particular question, don't hesitate to ask for clarification. It's better to seek clarification and provide accurate information than to guess and potentially provide incorrect details.
04
Take your time while filling out the questionnaire. Rushing through the process may result in mistakes or incomplete answers. Ensure that you are in a quiet and comfortable environment where you can concentrate and provide thoughtful responses.
05
Once you have completed the questionnaire, review your answers to ensure they are accurate and complete. If any changes or additional information needs to be added, do so before submitting the questionnaire.

Who needs a dry eye screening questionnaire:

01
Individuals who are experiencing symptoms of dry eye, such as irritation, redness, or a sandy/gritty sensation in the eyes, should consider completing a dry eye screening questionnaire. It can help determine if further evaluation and treatment for dry eye disease are necessary.
02
People who have a history of dry eye or other eye conditions may also benefit from completing a dry eye screening questionnaire. This can provide valuable information to healthcare professionals for monitoring and managing their eye health.
03
Dry eye screening questionnaires can also be used by healthcare professionals during routine eye exams or preoperative evaluations. It helps identify individuals who may be at risk for dry eye or require additional interventions.
In conclusion, filling out a dry eye screening questionnaire involves reading and answering each question accurately, seeking clarification if needed, and taking your time to provide thoughtful responses. It is beneficial for individuals experiencing dry eye symptoms, those with a history of dry eye or other eye conditions, and during routine eye exams or preoperative evaluations.
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