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Hopewell

Adjacent to the Constitution Bank and The Peasant Grill on Broad Street

Lambertville

At the Intersection of River Rd (RT 29 & Rt 179) and Bridge Street

609-288-2090
Appointment
609-451-3992
Appointment

For 24/7 Emergency Eyecare Services call: 609-213-5008. Contact Us.

Home » Dry Eye » SPEED™ Questionnaire

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.

Call Our Locations

Call Lambertville 609-451-3992

Call Hopewell 609-288-2090

COVID-19 updates (offices are currently closed):
Click here to read a message to our patients.
Click here to reach the doctor for urgent care or to order contact lenses.
Click here to communicate with Dr. Daniels or email hopewelleye@kennethdaniels.net or call the doctor at 609-213-5008