Problem-Umfrage Questionnaire regarding DES (Dry Eye Syndrome) Dry Eye Syndrome (DES) - Survey OK Question Title * 1. Are you suffering from the Dry Eye Syndrome? Yes No OK Question Title * 2. What was your first source / sparring partner regarding your Dry Eye Syndrome? Doctor Family & Friends Google Forum Other (please specify) OK Question Title * 3. How often do you see your doctor every year regarding your Dry Eye Syndrome? 1 (once per year) 52 (every week) Clear i We adjusted the number you entered based on the slider’s scale. OK Question Title * 4. Generally speaking, are you happy with the success (including the speed of success) of your doctor's treatment regarding the Dry Eye Syndrome? 1 (Not at all) 2 3 4 5 (Absolutely!) 1 (Not at all) 2 3 4 5 (Absolutely!) OK Question Title * 5. Do you have the feeling that your doctor is an absolute expert for your Dry Eye Syndrome? 1 (Not at all) 2 3 4 5 (Absolutely!) 1 (Not at all) 2 3 4 5 (Absolutely!) OK Question Title * 6. Would you wish to increase the communication / feedback loop with your doctor in between your visits to the doctor? 1 (Not at all) 2 3 4 5 (Absolutely!) 1 (Not at all) 2 3 4 5 (Absolutely!) OK Question Title * 7. Would you wish to benefit more from the experiences from other patients? 1 (Not at all) 2 3 4 5 (Absolutely!) 1 (Not at all) 2 3 4 5 (Absolutely!) OK Question Title * 8. Do you have the feeling that you would be able (and willing) to do more things yourself between the visits to the doctor to improve treatment of your Dry Eye Syndrome? 1 (Not at all) 2 3 4 5 (Absolutely!) 1 (Not at all) 2 3 4 5 (Absolutely!) OK Question Title * 9. Would you wish to get more information and/or consulting regarding your Dry Eye Syndrome apart from your visits to the doctor? (If so: what kind of information/consulting would you like to get?) OK Question Title * 10. You are helping us and the dry eye community A LOT with all your answers, we really do appreciate it! Would you be willing to tell us about your individual Dry Eye Syndrome experiences in more detail via email and/or phone? If so, please put your phone number and/or email address in the following field (otherwise just put in "n/a"): phone number / email address (optional) OK DONE