Dry Eye Assessment

Office Hours

  • Monday 8:00am to 6:00pm
  • Tuesday 10:00am to 7:00pm
  • Wednesday 8:00am to 3:00pm
  • Thursday 10:00am to 7:00pm
  • Friday 8:00am to 3:00pm
  • Saturday 8:00am to 12:00pm

3027 English Rows Ave. Suite 209
Naperville, IL 60564
PHONE: 630.922.2661
EMAIL: contactus@englishrow...

Ocular Surface Disease Index (OSDI) Questionnaire

Please fill out this form as it is directly related to Dry Eye Treatment
  • Date Format: MM slash DD slash YYYY
  • Please answer the following 12 questions.

    Have you experienced any of the following in the past week?
  • Have you had problems with your eyes which limited you in performing any of the following during the last week?
  • Have your eyes felt uncomfortable in any of the following situations during the last week?
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