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Nice to meet you, !

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When is your birthday?

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Thanks !

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1. Avid screen user (greater than 4 hours a day):

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2.Have you been diagnosed with blepharitis or meibomian gland disease?Or are your eyelids red, irritated and itchy with debris on your eyelashes?

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3. Have you been diagnosed with demodex?

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4. Do you prefer pill or liquid supplement?

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5.Do you eat seafood products?

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6. Any allergies to seafood/shell fish products?

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7. Do you wear eye lash extension or false eye lashes:

7. Some products contain ingredients that are not suitable for fake lashes or eyelash extension wear, please discontinue all fake lashes and extensions while on this specific box. Thank you.

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You will now be asked a series of questions from the OSDI questionnaire. The OSDI© is a valid and reliable instrument for measuring dry eye disease (normal, mild to moderate, and severe) and effect on vision-related function. Please choose the best answer that represents your symptoms.Please answer to the best of your ability.

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Have you ever experienced any of the following during the last week?

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1.Eyes that are sensitive to light?

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2.Eyes that feel gritty?

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3.Painful or sore eyes?

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4.Blurred vision?

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5.Poor vision?

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Have problems with your eyes limited you in performing any of the following during the last week?

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6. Reading?

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7.Driving at night?

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8.Working with a computer or bank machine (ATM)?

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9.Watching TV?

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Have your eyes felt uncomfortable in any of the following situations during the last week?

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10.Windy conditions?

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11. Places or areas with low humidity (very dry)?

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12.Areas that are air conditioned?

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Thank you, your answers are being assessed, please press submit.

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Severe

Mild/moderate

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