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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 Office Closure

Our Offices are temporarily closed to the general public. We are working behind the scene to provide our patients and customers as much service as possible. Here is what we are doing:

~Now Ready: Telemedicine program for medical conditions.

Established Patient Telehealth Eyecare

New Patient Telehealth Eyecare

~ Making special arrangements for certain “eye” medical conditions/emergencies to be seen in person by Dr. Abraham Zlatin

~ Completing all eyewear orders and will notify patients on how to pick-up or arrange delivery.

~ Taking product orders over the phone and through our online store.

~ Monitoring our phones and email. We will respond as fast as possible.

Thank you for your understanding and support during this difficult time