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SPEED™ Questionnaire

SPEED™ Questionnaire


  • For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

    1. Report the type of SYMPTOMS you experience and when they occur:

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

    0 = Never
    1 = Sometimes
    2 = Often
    3 = Constant

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

    0 = No Problems
    1 = Tolerable - not perfect, but not uncomfortable
    2 = Uncomfortable - irritating, but does not interfere with my day
    3 = Bothersome - irritating and interferes with my day
    4 = Intolerable - unable to perform my daily tasks
  • Add your name, phone number and email address to see your results:

  • Click “submit” to see your SPEED score results.

Changes following the CDC guidelines for patient care.

Until further notice, we will be open for urgent care only. Our office will be open from 10:00 to 2:00 pm for medical patients and emergencies only.

We will have our phones set up to forward all calls directly to the doctor’s cell phone to accommodate incoming emergencies. Please keep checking back for new updates.

570-558-5566