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SPEED™ Questionnaire

SPEED™ Questionnaire


  • For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

    1. Report the type of SYMPTOMS you experience and when they occur:

  • 2. Report the FREQUENCY of your symptoms using the rating list below:

    0 = Never
    1 = Sometimes
    2 = Often
    3 = Constant

  • 3. Report the SEVERITY of your symptoms using the rating list below:

    0 = No Problems
    1 = Tolerable - not perfect, but not uncomfortable
    2 = Uncomfortable - irritating, but does not interfere with my day
    3 = Bothersome - irritating and interferes with my day
    4 = Intolerable - unable to perform my daily tasks
  • Add your name, phone number and email address to see your results:

  • Click “submit” to see your SPEED score results.

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Please refer to our Latest News page regarding practice updates.

As a practice we are taking precautionary measures as advised by the CDC.

If you have any of the following symptoms: fever (within the past 14 days), cough, or difficulty breathing. The Department of Health recommends that you call your primary care physician for Coronavirus screening immediately.

If you have had these symptoms, had contact with someone with these symptoms, or have traveled to one of the countries on the CDC

https://www.cdc.gov/coronavirus/2019-nCoV/hcp/clinical-criteria.html

AND your appointment is NOT urgent, we ask that you please call us at 404-549-9999 to reschedule your appointment. We can also make arrangements to ship your eyewear and/or glasses to you.

Thank you for your cooperation!

-FECCATL Doctor and Staff