Dry Eye Quiz

Ocular Surface Disease Index® (OSDI°)²

Ask your patients the following 12 questions, and circle the number in the box that best represents each answer. Then, fill in boxes A, B, C, D, and E according to the instructions beside each.

Contact Information

All of the time = 4| Most of the time = 3 |Half of the time = 2 |Some of the time = 1 |None of the time = 0

Have you experienced any of the following during the last week?

1. Eyes that are sensitive to light?

2. Eyes that feel gritty?

3. Painful or sore eyes?

4. Blurred vision?

5. Poor vision?

Have problems with your eyes limited you in performing any of the following during the last week?

6. Reading?​​​​​​​

7. Driving at Night?

8. Working with a computer or bank machine (ATM)?

9. Watching TV?

Have your eyes felt uncomfortable in any of the following situations during the last week?

10. Windy Conditions?

11. Places or areas with low humidity (very dry)?

12. Areas that are air conditioned?

Click to see your SPEED score results.

SPEED™ Questionnaire Results

Thank you for completing the SPEED Questionnaire!
This assessment is your first step toward finding relief from dry eye.

Subtotal Score for answers 1 to 5:
Subtotal Score for answers 6 to 9:
Subtotal Score for answers 10 to 12:
Total Score:

If your score is:

  • 0-20 is normal

  • 20-35 you are experiencing MILD dry eye symptoms

  • 35-65 you are experiencing MODERATE dry eye symptoms

  • anything above 65 you are experiencing SEVERE dry eye symptoms

Schedule a dry eye appointment by calling us at (847) 874-2020.

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