Dry Eye Quiz Please enable JavaScript in your browser to complete this form.Dry Eye Quiz Please take two minutes to assess your symptoms using the DEQ-5 Dry Eye Questionnaire (5 questions) on our site. In the meantime, don't forget to contact us to book your comprehensive Dry Eye Consultation with our Dry Eye Team at 604-260-1166. Name (First, Last) *Email *PhoneRate The Level Of Your Eye DISCOMFORT... During a typical day in the past month, how often did your eyes feel DISCOMFORT? *0-Never1-Rarely2-Sometimes3-Often4-ConstantlyWhen your eyes feel DISCOMFORT, how intense was this feeling of DISCOMFORT at the end of the day, within two hours of going to bed? *0-Never1-Rarely2-Sometimes3-Often4-ConstantlyLet's Talk About Eye DRYNESS... During a typical day in the past month, how often did your eyes feel DRY? *0-Never1-Rarely2-Sometimes3-Often4-ConstantlyWhen your eyes felt dry, how intense was this feeling of DRYNESS at the end of the day, within two hours of going to bed? *0-Never1-Rarely2-Sometimes3-Often4-ConstantlyTell Us About WATERY EYES... During a typical day in the past month, how often did your eyes look or feel exessively watery? *0-Never1-Rarely2-Sometimes3-Often4-ConstantlySubmit