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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?

  • 2. Do you experience EYE DRYNESS?

  • 3. Do you have WATERY EYES?

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EFFECTIVE May 15th, 2022

To our valued customers: Instead of raising our prices, your receipt now includes a non-cash adjustment of 3% to cover the rising cost of credit card acceptance. If you pay with cash, your receipt reflects a 3% cash discount

Thank you for your continued patronage.