Dry Eye Self-Assessment
Answer based on symptoms over the past 2–4 weeks.
1. Do your eyes feel dry?
Never
Occasionally
Frequently
Constantly
2. Do your eyes feel gritty or sandy?
Never
Occasionally
Frequently
Constantly
3. Do your eyes burn or sting?
Never
Occasionally
Frequently
Constantly
4. Do your eyes water excessively?
Never
Occasionally
Frequently
Constantly
5. Does blurry vision improve after blinking?
Never
Occasionally
Frequently
Constantly
6. Do symptoms worsen with screens, AC, or wind?
Yes
No
7. Do symptoms interfere with daily activities?
Not at all
Mildly
Moderately
Severely
8. Do you use artificial tears?
No
Occasionally
Daily
Multiple times daily
See Results