Dry Eye Self-Evaluation

Do you sometimes wonder if the itchiness, dryness, and scratchiness you feel in your eyes is normal? Do you spend a lot of time in front of a computer? If you live with symptoms of dry eyes and over-the-counter eye drops don't permanently resolve your dryness, then you may need to see a dry eye specialist. Take our dry eye evaluation below and take the next step towards relief!

* indicates a required field

First Name

Last Name

Phone

Please select the symptoms you are experiencing (select all that apply):

Dryness, Grittiness or Scratchiness
Soreness or Irritation
Burning or Watering
Eye Fatigue

How often do you experience these symptoms?

How severe are your symptoms?

Are you a current Marietta Eye Clinic Patient?

Yes, I am a current Marietta Eye Clinic Patient
No, I am not a current Marietta Eye Clinic Patient
I am not sure

Please select a preferred dry eye specialist from the list below.*

Please select a preferred Marietta Eye Clinic location from the list below.

All Dry Eye Relief Center Services