Speed II Questionnaire For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question. 1. Report the type of SYMPTOMS you experience and when they occur:Dryness, Grittiness or Scratchiness*At this timeNot at this timeWithin past 72 hoursNot within past 72 hoursWithin past 3 monthsNot within past 3 monthsSoreness or Irritation*At this timeNot at this timeWithin past 72 hoursNot within past 72 hoursWithin past 3 monthsNot within past 3 monthsBurning or Watering*At this timeNot at this timeWithin past 72 hoursNot within past 72 hoursWithin past 3 monthsNot within past 3 monthsEye Fatigue*At this timeNot at this timeWithin past 72 hoursNot within past 72 hoursWithin past 3 monthsNot within past 3 months2. Report the FREQUENCY of your symptoms using the rating list below: 0 = Never 1 = Sometimes 2 = Often 3 = ConstantDryness, Grittiness or Scratchiness*0123Soreness or Irritation*0123Burning or Watering*0123Eye Fatigue*01233. Report the SEVERITY of your symptoms using the rating list below: 0 = No Problems 1 = Tolerable - not perfect, but not uncomfortable 2 = Uncomfortable - irritating, but does not interfere with my day 3 = Bothersome - irritating and interferes with my day 4 = Intolerable - unable to perform my daily tasksDryness, Grittiness or Scratchiness*01234Soreness or Irritation*01234Burning or Watering*01234Eye Fatigue*012344. Do you use eye drops for lubrication?*YesNohow often?Add your name, phone number and email address to see your results: Name* First Last PhoneEmail* New or returning patient?NewReturningClick to see your SPEED score results.