940019 REV F-QUESTIONNAIRE - Eye Doctors › pdf › dry-eye-questionnaire.pdf · If YES, is your...

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Transcript of 940019 REV F-QUESTIONNAIRE - Eye Doctors › pdf › dry-eye-questionnaire.pdf · If YES, is your...

Page 1: 940019 REV F-QUESTIONNAIRE - Eye Doctors › pdf › dry-eye-questionnaire.pdf · If YES, is your appointment today to monitor dry eye treatment? YES NO Do you use? Contact lenses

DRY EYE DISEASE QUESTIONNAIRE