Canadian Dry Eye Assessment (CDEA)

This questionnaire will help to grade the severity of your Dry Eye symptoms

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None of the time

Some of the time

Half of the time

Most of the time

All of the time

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None of the time

Some of the time

Half of the time

Most of the time

All of the time

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Let us know if you have experienced any of the following symptoms by checking one of the circles from left to right.

(Left being None of the time, right being All of the time)

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Have you experienced eye irritation while performing any of these activities?

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Have your eyes felt uncomfortable in any of the following situations?

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How much do your eyes bother you ?

Compplete the fields below to allow us to follow up with you.