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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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COVID-19 Changes to Availability

Under the advice of the Chief Medical Officer of Health Ontario, our office is closed to in-person care until further notice as a precaution to help protect our patients, team members and the community against the spread of COVID-19.

Should you experience an eye emergency or concerns about your eye health, please email dec251b@gmail.com or call (519-662-3340).

If you are in need of contact lenses, we offer free direct ship. If you have an eyeglasses emergency, we will do our best to help you.

A team member will be responding to messages and answering the phone between the hours of 10:00 am and 12:00 noon, from Monday to Friday.

We apologize for any inconvenience. Once our office reopens, we will reschedule your appointment.

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We appreciate you patience and understanding during this very difficult time.

Sincerely, and with best wishes,

The Dolman Eyecare Team