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Home » Patient Symptom Surveys » Comprehensive Eye Exam Symptom Survey

Comprehensive Eye Exam Symptom Survey

  • Please check the column that best represents the occurrence of each symptom.
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways
  • NeverSeldomOccasionallyFrequentlyAlways