SPEED Questionnaire

SPEED Questionnaire

1. Report the FREQUENCY of the following symptoms using the rating list below:

Dryness, Grittiness, or Scratchiness
Soreness or Irritiation
Burning or Watering
Eye Fatigue

2. Report the SEVERITY of your symptoms using the rating list below:

Dryness, Grittiness, or Scratchiness
Soreness or Irritiation
Burning or Watering
Eye Fatigue

3. Use of eye drops:

Do you use eye drops for lubrication?