Ocular Surface Disease Index (OSDI)
OSDI is a simple 12-question survey that rates the severity of your dry eye disease based on your symptoms. It stands for the “Ocular Surface Disease Index”. It has been scientifically validated and has been used in clinical trials for dry eye drugs, devices and other remedies for more than 20 years. Please note that OSDI could not make diagnosis for DRY EYE SYNDROME on it's own. Other tests are needed in addition to make a concrete diagnosis.

OSDI 是一個簡單的問卷，以當中12條問題評估你的眼部徵狀，來估計乾眼症的嚴重程度。OSDI指的是眼表疾病指數，已被科學證實，並在二十年間被使用於不同乾眼藥物、儀器、及其他治療方式的臨床試驗。

***請注意我們並不能單靠OSDI作出乾眼症的診斷，必須配合其他檢查及評估。

Answer the following 12 questions, and pick the number that best represents each answer.
請問答以下12條問題，並選擇最合適的代表數字, 你只需選擇最接近你情況的答案就可以了。

4 = All of the time 所有時間 3 = Most of the time 經常 2 = Half of the time 有時候 1 = Some of the time 偶然 0 = None of the time 從不     N/A = 沒有進行此活動

By completion of the questionaire, you are going to receieve an email consisting the result.
Please check the Junk mailbox it is not seen in the inbox.
Otherwise, please contact us through eyecareplusltd@gmail.com
完成問卷後，你將經電郵收到OSDI指數結果報告, 請核對清楚電郵地址是否正確。
如果在一般收件匣找不到，請到JUNK MAIL垃圾郵件匣找找看。
如有任何查詢，請以電郵聯絡eyecareplusltd@gmail.com
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Correo *
Name *
姓名
HAVE YOU EXPERIENCED ANY OF THE FOLLOWING DURING THE LAST WEEK:
請問你有沒有試過有以下任何一項情況?
1. Eyes that are sensitive to light? *
眼睛對光敏感/畏光?
None of the time
All of the time
2. Eyes that feel gritty? *
眼睛有異物感/不適?
None of the time
All of the time
3. Painful or sore eyes? *
眼睛有刺痛/痛楚?
None of the time
All of the time
4. Blurred vision? *
視力模糊?
None of the time
All of the time
5. Poor vision? *
視力不佳/不舒適?
None of the time
All of the time
HAVE PROBLEMS WITH YOUR EYES LIMITED YOU IN PERFORMING ANY OF THE FOLLOWING DURING THE LAST WEEK:
請問有沒有因眼睛情況而影響到你進行以下任何一項活動?
6. Reading? *
閱讀? 4 = All of the time, 0= None of the time, N/A = N/A = 沒有進行此活動
7. Driving at night? *
夜間駕駛? 4 = All of the time, 0= None of the time, N/A = N/A = 沒有進行此活動
8. Working with a computer or bank machine (ATM)? *
使用電腦或自動櫃員機(ATM)? 4 = All of the time, 0= None of the time, N/A = N/A = 沒有進行此活動
9. Watching TV? *
看電視? 4 = All of the time, 0= None of the time, N/A = N/A = 沒有進行此活動
HAVE YOUR EYES FELT UNCOMFORTABLE IN ANY OF THE FOLLOWING SITUATIONS DURING THE LAST WEEK:
過去一星期內，請問你的眼睛有沒有在以下任何一個情況下感到不適?
10. Windy conditions? *
刮風/在大風環境? 4 = All of the time, 0= None of the time, N/A = 沒有出現此情況
11. Places or areas with low humidity (very dry)? *
在乾燥地方? 4 = All of the time, 0= None of the time, N/A = 沒有出現此情況
12. Areas that are air conditioned? *
在有冷氣地方? 4 = All of the time, 0= None of the time, N/A = 沒有出現此情況
Please tick the box(es) if you agree with the following item(s): *
請勾選以下同意的事項:
Obligatorio
Enviar
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