{"id":5345,"date":"2023-01-29T22:54:30","date_gmt":"2023-01-30T06:54:30","guid":{"rendered":"https:\/\/helloeyelab.com\/?page_id=5345"},"modified":"2023-03-15T21:42:48","modified_gmt":"2023-03-16T04:42:48","slug":"dry-eye-quiz","status":"publish","type":"page","link":"https:\/\/helloeyelab.com\/cn\/dry-eye-quiz\/","title":{"rendered":"\u5e72\u773c\u75c7\u6d4b\u9a8c"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"5345\" class=\"elementor elementor-5345\" data-elementor-post-type=\"page\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-45c6ffe elementor-section-boxed elementor-section-height-default elementor-section-height-default\" data-id=\"45c6ffe\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-85a7358\" data-id=\"85a7358\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-8e71614 elementor-widget elementor-widget-wpforms\" data-id=\"8e71614\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"wpforms.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-5276\"><form id=\"wpforms-form-5276\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"5276\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/cn\/wp-json\/wp\/v2\/pages\/5345\" data-token=\"395dcb58cad023134abd3e3defe41c24\" data-token-time=\"1790868998\"><noscript class=\"wpforms-error-noscript\">\u8bf7\u5728\u6d4f\u89c8\u5668\u4e2d\u542f\u7528JavaScript\u6765\u5b8c\u6210\u6b64\u8868\u5355\u3002<\/noscript><div class=\"wpforms-field-container\"><div id=\"wpforms-5276-field_26-container\" class=\"wpforms-field wpforms-field-content mb-64p\" data-field-type=\"content\" data-field-id=\"26\"><div id=\"wpforms-5276-field_26\" class=\"wpforms-field-large wpforms-field-row\"><h3>Dry Eye Quiz<\/h3>\n<p>Please take two minutes to assess your symptoms using the DEQ-5 Dry Eye Questionnaire (5 questions) on our site.<\/p>\n<p>In the meantime, don't forget to contact us to book your comprehensive Dry Eye Consultation with our Dry Eye Team at <a href=\"tel:+16042601166\">604-260-1166<\/a>.<\/p>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5276-field_22-container\" class=\"wpforms-field wpforms-field-text\" data-field-type=\"text\" data-field-id=\"22\"><label class=\"wpforms-field-label\" for=\"wpforms-5276-field_22\">Name (First, Last) <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"text\" id=\"wpforms-5276-field_22\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][22]\" required><\/div><div id=\"wpforms-5276-field_7-container\" class=\"wpforms-field wpforms-field-email\" data-field-type=\"email\" data-field-id=\"7\"><label class=\"wpforms-field-label\" for=\"wpforms-5276-field_7\">Email <span class=\"wpforms-required-label\">*<\/span><\/label><input type=\"email\" id=\"wpforms-5276-field_7\" class=\"wpforms-field-medium wpforms-field-required\" name=\"wpforms[fields][7]\" spellcheck=\"false\" required><\/div><div id=\"wpforms-5276-field_25-container\" class=\"wpforms-field wpforms-field-phone\" data-field-type=\"phone\" data-field-id=\"25\"><label class=\"wpforms-field-label\" for=\"wpforms-5276-field_25\">Phone<\/label><input type=\"tel\" id=\"wpforms-5276-field_25\" class=\"wpforms-field-small wpforms-smart-phone-field\" data-rule-smart-phone-field=\"true\" name=\"wpforms[fields][25]\" aria-label=\"Phone\" ><\/div><div id=\"wpforms-5276-field_9-container\" class=\"wpforms-field wpforms-field-content\" data-field-type=\"content\" data-field-id=\"9\"><div id=\"wpforms-5276-field_9\" class=\"wpforms-field-large wpforms-field-row\"><h4 class=\"p-0 mb-1rem\">Rate The Level Of Your Eye DISCOMFORT...<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5276-field_10-container\" class=\"wpforms-field wpforms-field-radio p-0 mt-1rem mb-1_5rem wpforms-list-inline wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"10\"><label class=\"wpforms-field-label\">During a typical day in the past month, how often did your eyes feel DISCOMFORT? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5276-field_10\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_10_1\" name=\"wpforms[fields][10]\" value=\"0\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_10_1\">0-Never<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_10_2\" name=\"wpforms[fields][10]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_10_2\">1-Rarely<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_10_3\" name=\"wpforms[fields][10]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_10_3\">2-Sometimes<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_10_4\" name=\"wpforms[fields][10]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_10_4\">3-Often<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_10_5\" name=\"wpforms[fields][10]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_10_5\">4-Constantly<\/label><\/li><\/ul><\/div><div id=\"wpforms-5276-field_11-container\" class=\"wpforms-field wpforms-field-radio p-0 mt-1_5rem mb-1_5rem wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"11\" style=\"display:none;\"><label class=\"wpforms-field-label\">When your eyes feel DISCOMFORT, how intense was this feeling of\u00a0DISCOMFORT\u00a0at the end of the day, within two hours of going to bed? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5276-field_11\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_11_1\" name=\"wpforms[fields][11]\" value=\"0\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_11_1\">0-Never<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_11_2\" name=\"wpforms[fields][11]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_11_2\">1-Rarely<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_11_3\" name=\"wpforms[fields][11]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_11_3\">2-Sometimes<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_11_4\" name=\"wpforms[fields][11]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_11_4\">3-Often<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_11_5\" name=\"wpforms[fields][11]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_11_5\">4-Constantly<\/label><\/li><\/ul><\/div><div id=\"wpforms-5276-field_14-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"14\" style=\"display:none;\"><div id=\"wpforms-5276-field_14\" class=\"wpforms-field-large wpforms-field-row\"><h4 class=\"p-0 mb-1rem\">Let's Talk About Eye DRYNESS...<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5276-field_15-container\" class=\"wpforms-field wpforms-field-radio p-0 mt-1rem mb-1_5rem wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"15\" style=\"display:none;\"><label class=\"wpforms-field-label\">During a typical day in the past month, how often did your eyes feel DRY? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5276-field_15\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_15_1\" name=\"wpforms[fields][15]\" value=\"0\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_15_1\">0-Never<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_15_2\" name=\"wpforms[fields][15]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_15_2\">1-Rarely<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_15_3\" name=\"wpforms[fields][15]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_15_3\">2-Sometimes<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_15_4\" name=\"wpforms[fields][15]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_15_4\">3-Often<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_15_5\" name=\"wpforms[fields][15]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_15_5\">4-Constantly<\/label><\/li><\/ul><\/div><div id=\"wpforms-5276-field_12-container\" class=\"wpforms-field wpforms-field-radio p-0 mt-1_5rem mb-1_5rem wpforms-list-inline wpforms-conditional-field wpforms-conditional-show wpforms-conditional-trigger\" data-field-type=\"radio\" data-field-id=\"12\" style=\"display:none;\"><label class=\"wpforms-field-label\">When your eyes felt dry, how intense was this feeling of\u00a0DRYNESS at the end of the day, within two hours of going to bed? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5276-field_12\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_12_1\" name=\"wpforms[fields][12]\" value=\"0\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_12_1\">0-Never<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_12_2\" name=\"wpforms[fields][12]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_12_2\">1-Rarely<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_12_3\" name=\"wpforms[fields][12]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_12_3\">2-Sometimes<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_12_4\" name=\"wpforms[fields][12]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_12_4\">3-Often<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_12_5\" name=\"wpforms[fields][12]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_12_5\">4-Constantly<\/label><\/li><\/ul><\/div><div id=\"wpforms-5276-field_16-container\" class=\"wpforms-field wpforms-field-content wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"content\" data-field-id=\"16\" style=\"display:none;\"><div id=\"wpforms-5276-field_16\" class=\"wpforms-field-large wpforms-field-row\"><h4 class=\"p-0 mb-1rem\">Tell Us About WATERY EYES...<\/h4>\n<div class=\"wpforms-field-content-display-frontend-clear\"><\/div><\/div><\/div><div id=\"wpforms-5276-field_13-container\" class=\"wpforms-field wpforms-field-radio p-0 mt-1rem mb-1_5rem wpforms-list-inline wpforms-conditional-field wpforms-conditional-show\" data-field-type=\"radio\" data-field-id=\"13\" style=\"display:none;\"><label class=\"wpforms-field-label\">During a typical day in the past month, how often did your eyes look or feel exessively watery? <span class=\"wpforms-required-label\">*<\/span><\/label><ul id=\"wpforms-5276-field_13\" class=\"wpforms-field-required\"><li class=\"choice-1 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_13_1\" name=\"wpforms[fields][13]\" value=\"0\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_13_1\">0-Never<\/label><\/li><li class=\"choice-2 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_13_2\" name=\"wpforms[fields][13]\" value=\"1\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_13_2\">1-Rarely<\/label><\/li><li class=\"choice-3 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_13_3\" name=\"wpforms[fields][13]\" value=\"2\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_13_3\">2-Sometimes<\/label><\/li><li class=\"choice-4 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_13_4\" name=\"wpforms[fields][13]\" value=\"3\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-5276-field_13_4\">3-Often<\/label><\/li><li class=\"choice-5 depth-1\"><input type=\"radio\" id=\"wpforms-5276-field_13_5\" name=\"wpforms[fields][13]\" value=\"4\" required ><label class=\"wpforms-field-label-inline\" 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aria-live=\"assertive\" value=\"wpforms-submit\">Submit<\/button><img decoding=\"async\" src=\"https:\/\/helloeyelab.com\/wp-content\/plugins\/wpforms\/assets\/images\/submit-spin.svg\" class=\"wpforms-submit-spinner\" style=\"display: none;\" width=\"26\" height=\"26\" alt=\"\u52a0\u8f7d\"><\/div><\/form><\/div>  <!-- .wpforms-container -->\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"","protected":false},"author":117611781,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_coblocks_attr":"","_coblocks_dimensions":"","_coblocks_responsive_height":"","_coblocks_accordion_ie_support":"","_monsterinsights_skip_tracking":false,"_wpcom_ai_launchpad_about_page":false,"_wpcom_ai_launchpad_gallery_page":false,"_wpcom_ai_launchpad_contact_page":false,"_wpcom_ai_launchpad_events_page":false,"_wpcom_ai_launchpad_video_page":false,"_wpcom_ai_launchpad_portfolio_piece":false,"footnotes":""},"class_list":["post-5345","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.6 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Dry Eye Quiz - Eyelab, Doctors of 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