Dry Eye Syndrome Self-Assessment Quiz

Dry Eye Discomfort & Best Treatment Survey

This should only take two minutes. Every question you answer below carries points – the higher your total, the more likely you'll benefit from in-office treatment with OptiLIGHT IPL and OptiLIFT rather than drops and at-home habits alone. Answer everything, then tap See my score. Print your results and bring them to your appointment.

Nothing is submitted or saved. Your answers stay on your device.

Eye Health Assessment

1. How frequently do you experience any of the following dry eye symptoms? (Select one option for each)

NeverOccasionallyFrequentlyConstantly
Burning or stinging
Grittiness / foreign body sensation
Blurred vision that improves with blinking

2. On average, how many hours per day do you spend looking at digital screens? (computer, phone, tablet)

3. Do your eye symptoms worsen in any of these situations? (Check all that apply)

Symptoms that build through the day are a classic sign of Meibomian Gland Dysfunction. Dr. Moskowitz explains how he treats it in OptiLIGHT IPL vs. LipiFlow.

Facial Aesthetic Concerns

4. Which areas around your eyes concern you most? (Check all that apply)

5. Have you noticed any of the following skin changes? (Check all that apply)

6. What skincare products do you currently use around your eyes? (Check all that apply)

Sun spots and uneven tone respond to the same IPL light used for dry eye. Read why a photofacial from an MD differs from a med spa.

7. Rate your level of concern about each of the following.

1 = Not concerned  ·  5 = Very concerned

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Overall eye comfort
Facial pigmentation
Fine lines and wrinkles
Under-eye appearance