Dry Eye Questions Section 1: Eye Care & Lifestyle HabitsHow often do you experience symptoms like dryness, redness, or irritation?EverydayMost daysSome daysRarelyNot sure, but I want to improve my eye comfortDo you currently wear contact lenses?Yes, for 1 year or underYes, for 1-2 yearsYes, for 2-5 yearsYes, for 5 years+NoOn average, how long do you wear your contact lenses per day?N/A or less than 1 hour1–4 hours5–8 hours8-10 hours10 hours+How many hours per day do you spend on screens (computer, phone, or tablet)?1–4 hours5–8 hours8-10 hours10 hours+When do you notice your symptoms the most?In the morning when I first wake upDuring work or after staring at screensOutdoors (wind, sports, sun exposure)End of the day after removing contact lensesIt’s bad all the timeHow often do you use lubricating or artificial eye drops?Multiple times a dayOnce a dayOccasionallyRarely or neverWhat do you think is the main cause of your dry eye symptoms?Contact lens overwearExcessive screen timeEnvironmental causes (wind, aircon, heater)Post laser/cataract surgery side effectOther systemic reasons (eg diabetes) / medicationI’m not sureWhat dry eye treatments have you tried?You can choose more than 1 answerArtificial tears or lubricating dropsTaking breaks from screens or blinking exercisesWarm/hot compressProfessional dry eye treatmentsNone of the aboveHow much do your symptoms affect your daily comfort or activities?Not at allMildly — I notice it but can ignore itModerately — it’s uncomfortable at timesSignificantly — it affects my focus or workSeverely — it impacts my daily lifeDo you have any known eye conditions or allergies (e.g., blepharitis, hay fever, meibomian gland issues)?YesNoNot sureSection 2: Your Eye Comfort GoalsWhat’s your current situation? (Select all that apply)My eyes feel dry or grittyI get blurry vision after screen timeI rely on eye drops dailyMy eyes look red or tiredNot sure, but I want to improve my eye comfortWhat’s your most desired outcome to achieve in the next 30 days?I want to see clearly and comfortably during workI want to reduce dependence on eye dropsI want to stop waking up with sore, dry eyesI just want to fix this quickly and get back to normalWhat’s currently stopping you from getting relief or improving your symptoms?I’m too busy to manage my eye care properlyI’ve tried drops or routines that didn’t helpI’m not sure what the right treatment isI thought dryness was just “normal” for screen usersWhich type of solution would suit you best right now?I’m open to professional or long-term treatmentsI just want quick relief right awayI prefer natural, daily-habit-based approachesI’m not sure — I want expert advice firstAnything else you’d like us to know?TOTAL SCORESubmit
