Eyetech Optometrist Eyecare OSDI-6 Questionnaire

Eyetech Optometrists OSDI-6 Questionnaire

Patient Information

Questionnaire

Have you experienced any of the following during a typical day of the last month?

1. Eyes that are sensitive to light?
2. Blurred vision?

Have problems with your eyes limited you in performing any of the following during a typical day in the last month?

3. Driving or being driven at night?
4. Watching TV, or a similar task?

Have your eyes felt uncomfortable in any of the following situations during a typical day in the last month?

5. Windy conditions?
6. Places or areas with low humidity?

OSDI-6 Score

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Converted OSDI

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Severity

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Treatment Recommendations