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Myopia Management
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- Uniquely You
- Designer Frames
Our Eye Doctors
- Meet Our Staff

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

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Call Us 251-235-5177

Patient Information
Myopia Management
Advanced Services
Eye Care Services
Eyeglasses & Contacts
- Uniquely You
- Designer Frames
Our Eye Doctors
- Meet Our Staff

Patient Information
Myopia Management
Advanced Services
Eye Care Services
Eyeglasses & Contacts
- Uniquely You
- Designer Frames
Our Eye Doctors
- Meet Our Staff

Located at 118 Lottie Ln, Fairhope

Book Appointment

Patient Information
Myopia Management
Advanced Services
Eye Care Services
Eyeglasses & Contacts
- Uniquely You
- Designer Frames
Our Eye Doctors
- Meet Our Staff

Patient Information
Myopia Management
Advanced Services
Eye Care Services
Eyeglasses & Contacts
- Uniquely You
- Designer Frames
Our Eye Doctors
- Meet Our Staff

Home » Eye Care Services » Dry Eye » Dry Eye Questionnaire

Dry Eye 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
Hidden
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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Contact Us Here
What’s New Blog Posts
Visit Our Eye Care Clinic
Our Sitemap

Schedule Appointment

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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