Dry Eye Survey – Metro Eye

We will be closed Saturday April 27th for Staff Appreciation.

Dry Eye Survey

Dry Eye Quiz

Did you know dry eye is one of the fastest growing eye issues in America? You might be experiencing dry eye symptoms without knowing it. Complete the questionnaire below and learn more about whether you are a candidate for a dry eye evaluation.

If you are a candidate please call 414-727-5888 or email our Dry Eye Clinic to schedule your comprehensive dry eye evaluation.

Please correct any required fields and submit again.

Report the types of symptoms and how often they occur:

Dryness, Grittiness or Scratchiness
This question is required
Soreness or Irritation
This question is required
Burning or Watering
This question is required
Eye Fatigue
This question is required
None of the above
Question
This question is required