Complete Eye Exam Pre-Appointment Steps: Complete these 2 easy steps for a smooth check-in for your appointment STEP 1 : Dry Eye Questionnaire Full Name*Email Address* Do You ever experience any of these eye-related symptoms? Dryness, Burning, Tearing, Redness, Itching, Fatique, Scratchy or Gritty Sensation, ItchingIf YES please answer the following five questions and rate your symptoms based on a scale of 0-4 0 = Never 1 = Seasonally 2 = Sometimes 3 = Often 4 = Constantly1. My eyes are Dry, Gritty and Scratchy*012342. My eyes are sore and irritated*012343. My eyes burn or water*012344. I experience eye fatigue*012345. My eyes are red*01234Are you interested in contact lenses?*YESNODo you currently wear contact lenses?*YESNOAre they comfortable?*YESNON/AWhat do you wish was better about your contact lenses?*Distance VisionNear VisionComfortLength of wearN/A