We welcome new patients and accept most major forms of insurance.

Mon, Wed, Thu 7:30 AM–5 PM Tue 8:30 AM–5 PM Fri 7:30 AM–1 PM

York Eye Associates
Book an Appointment (opens in a new tab)

Dry Eye Questionnaire

Book an Appointment (opens in a new tab)Call 940-612-2020
This form is disabled in this preview. Nothing entered here is sent anywhere, whatever the form below says about sending it. To reach York Eye Associates, P.C., call 940-612-2020.

Please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

1. Do you experience EYE DISCOMFORT?

a. During a typical day in the past month, how often did your eyes feel discomfort? (required)
b. When your eyes felt discomfort, how intense was this feeling of discomfort at the end of the day, within two hours of going to bed? (required)

2. Do you experience EYE DRYNESS?

a. During a typical day in the past month, how often did your eyes feel dry? (required)
b. When your eyes felt dry, how intense was this feeling of dryness at the end of the day, within two hours of going to bed? (required)

3. Do you have WATERY EYES?

During a typical day in the past month, how often did your eyes look or feel excessively watery? (required)

This form is disabled in this preview, so the button above does nothing and nothing is sent.

Visit Us

York Eye Associates, P.C.

2020 West Hwy 82, Gainesville, TX 76240

Located a mile West of the I-35, US-82 intersection, on the left hand side after the Hospital

Book an Appointment (opens in a new tab)Call 940-612-2020
Monday7:30 AM - 5:00 PM
Tuesday8:30 AM - 5:00 PM
Wednesday7:30 AM - 5:00 PM
Thursday7:30 AM - 5:00 PM
Friday7:30 AM - 1:00 PM
SaturdayClosed
SundayClosed

Closed most holidays.