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Survey Questionnaire Form
Doctor's details
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Questionnaire

  1. How often do you encounter dry eye cases in your daily practice? *

  2. What percentage of your OPD patients present with symptoms of dry eye? *

  3. When a patient suffering from dry eye disease visits you, how much are they aware about the disease? *

  4. When a patient with dry eye disease visits you, what percentage of them are already on self-medication or already using any lubricant directly purchased from a chemist? *

  5. Which self-medication usually the patient uses prior to consulting you? *

  6. In your practice, on how many % of patients do you conduct dry eye diagnostic tests in the first visit?

  7. If not during first visit, then how do you proceed dry eye diagnostic tests ?
  8. Which diagnostic tools do you regularly use for dry eye? (Select all that apply) *

  9. Which is the single best dry eye diagnostic test according to you? *
  10. What are the common symptoms of Dry eye disease? Please rank the symptoms below based on their frequency of appearance in patients, with 1 being the most frequent and 10 being the least. *
    11. Symptoms Rank
  11. Which are the most bothersome symptoms? *
  12. What is the most common cause of dry eye among your patients? *
  13. In your clinical experience, which age groups most commonly present with dry eye symptoms? Kindly provide an approximate percentage distribution across the age groups you observe. *
    14. Age Group % Distribution
    %
    %
    %
    %
  14. What is the percentage distribution of Dry Eye Disease types in your clinical practice? Please indicate the approximate percentage of patients you observe under each category: *
    15. %
    %
    %
  15. What is your typical dry eye treatment protocol? *
  16. What’s your first-line treatment in mild dry eye? *

  17. What’s your preferred treatment in moderate-severe dry eye? *

  18. Which Tear Substitute according to you works better in Evaporative dry eyes & Why ? *
  19. How often do patients report poor compliance with dry eye treatment? *

  20. What are the biggest challenges you face in dry eye management? *
  21. Are you familiar with Eyemist (HPMC) eye drops? *

  22. How frequently do you prescribe Eyemist in dry eye patients? *

  23. For which indications do you most often prescribe Eyemist Eye drops ? (Select all that apply) *

  24. What benefits do you perceive in using Eyemist? *
    Select all that apply and rank them from 1 to 10 — with 1 being the most valued benefit and 10 the least.
  25. In which Indication do you prescribe Eyemist Forte ( containing HPMC + Dextran + Glycerin ) ? *

  26. Would you recommend glycerin containing Tear Substitute to your patients? *

  27. How do you evaluate/monitor patient response to lubricating eye drops?*
  28. What drawbacks do you face when prescribing Eyemist?*
  29. How do your patients rate their satisfaction with Eyemist? *

  30. What makes you choose Eyemist over other HPMC brands? *
  31. Kindly rank the attributes for the following lubricants (1 being highly preferred, 5 being least preferred) *
    32. ATTRIBUTES CMC HPMC
  32. How do you decide between prescribing HPMC vs. CMC formulations? *
  33. Would you consider switching from CMC to HPMC for better patient experience?*