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Visit the Eye Doctor at our new location on Lottie Lane in Fairhope, AL!

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Call Us 251-235-5177

Hours & Location
- Our Eye Care Clinic
- Contact Us
Advanced Services
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- Designer Frames
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- What’s in Your Vision Insurance Plan

Hours & Location
- Our Eye Care Clinic
- Contact Us
Advanced Services
Eye Care Services
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- Uniquely You
- Designer Frames
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- Our Staff
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- What’s in Your Vision Insurance Plan

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Home » Eye Care Services » Dry Eye » DEQ-5 Questionnaire

DEQ-5 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
Score

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You can reach us by phone at (251) 929-4575.

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Eastern Shore Eye Care

118 Lottie Ln
Fairhope, AL 36532

Monday: 8:00 AM - 5:00 PM
Tuesday: 8:00 AM - 5:00 PM
Wednesday: 9:00 AM - 5:00 PM
Thursday: 8:00 AM - 5:00 PM
Friday: 8:00 AM - 5:00 PM
Saturday: Closed
Sunday: Closed

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Hours & Location
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Hours & Location
Advanced Services
Eye Care Services
Eyeglasses & Contacts
Our Eye Doctors
Insurance

Ask Here, Voice Search

Speak Field

Eastern Shore Eye Care - Located at 118 Lottie Ln, Fairhope, AL , 36532. Phone: 251-929-4575 . https://www.easternshoreeyecare.com

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