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Next to the Swiss Chalet in Mississauga, ON

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Hours & Directions
Our Eye Doctors
- Our Staff
Advanced Services
- Dry Eye
- Myopia Management
Eye Care Services
Pediatric Eye Exams
- Children’s Optical
- Myopia Control Centre
Eyeglasses & Contacts
- Designer Frame Brands
- Contact Lenses
Vision Insurance

Next to the Swiss Chalet in Mississauga, ON

Our Mississauga Eye Care Centre
Eye Care Services
Eyeglasses & Contacts
Pediatric Eye Exams
Your Eye Health
Hours & Directions

Our Mississauga Eye Care Centre
Eye Care Services
Eyeglasses & Contacts
Pediatric Eye Exams
Your Eye Health
Hours & Directions

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866-948-8849

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Home » Eye Care Services » Dry Eye » DEQ-5 Questionnaire

DEQ-5 Questionnaire

Please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

1. Do you experience EYE DISCOMFORT?
a. During a typical day in the past month, how often did your eyes feel discomfort?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
b. When your eyes felt discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
2. Do you experience EYE DRYNESS?
a. During a typical day in the past month, how often did your eyes feel dry?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
b. When your eyes felt dry, how intense was this feeling of dryness at the end of the day, within two hours of going to bed?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
3. Do you have WATERY EYES?
During a typical day in the past month, how often did your eyes look or feel excessively watery?*
- Never
- Rarely
- Sometimes
- Frequently
- Constantly
Score

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Office Hours

Monday: 9:00 AM - 6:00 PM
Tuesday: 9:00 AM - 7:30 PM
Wednesday: 9:00 AM - 6:00 PM
Thursday: 9:00 AM - 6:00 PM
Friday: 9:00 AM - 5:00 PM
Saturday: 9:00 AM - 1:00 PM
Sunday: Closed

Extended hours available by request. Entry is by appointment only.

Phone: 905-822-3698

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Our Mississauga Eye Care Centre
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Our Mississauga Eye Care Centre
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Your Eye Health
Hours & Directions

Speak Field

Sheridan Optometric Centre - Located at 103A-2155 Leanne Boulevard, Mississauga, ON , L5K 2K8. Phone: 905-822-3698 . https://www.sheridanoptometry.com

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To learn more about our COVID-19 protocols and procedures please click here.

1. Do you experience EYE DISCOMFORT?

2. Do you experience EYE DRYNESS?

3. Do you have WATERY EYES?

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