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What’s your first name?
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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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What’s your email address?
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Thank you, your answers are being assessed, please press submit.
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