DAOSD Activity Assessment Questionnaire

Name(Required)
Stage of Assessment(Required)
In the past 7 days, have you experienced any of the following eye symptoms?(Required)
Pain in one or both of your eyes(Required)
Redness in one or both of your eyes(Required)
Itchiness in one or both of your eyes(Required)
Discharge from one or both of your eyes(Required)
Change in vision (such as blurring or reduced vision) in one or both of your eyes(Required)
Sensitivity to light in one or both of your eyes(Required)