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McMonnies & Ho

The Dry Eye Questionnaire developed by McMonnies & Ho is a useful indicator of dry eye syndrome. In general any score over 14.5 indicates the presence of dry eye. Although the questionnaire alone may not be a reliable measure of severity, it is widely used as a clinical evaluation tool.

Please select your demographic:

Male or Female under 25

Male 25 - 45

Female 25 - 45

Male over 45

Female over 45

Do you ever experience any of the following symptoms: Yes No

Soreness

Scratchiness

Dryness

Grittiness

Burning









How often do your eyes have these symptoms?

Constantly

Often

Sometimes

Have you ever had eye drops prescribed or any other treatment for dry eyes?

Yes

No

Uncertain

Do you suffer from thyroid abnormality?

Yes

No

Uncertain

Do you suffer from arthritis?

Yes

No

Uncertain

Do you experience dryness of the nose, mouth, throat, chest or vagina?

Constantly

Often

Sometimes

Never

Do you regard your eyes as being unusually sensitive to cigarette smoke, smog, air conditioning or central heating?

Yes

No

Sometimes

Do you eyes become very red and irritated when swimming in chlorinated fresh water?

Yes

No

Sometimes

Do you take any of the following medication?: Yes No

Antihistamines (oral or eye drops)

Diuretics (water pill for hypertension)

Sleeping Pills

HRT

Oral Contraceptives

Tranquilizers

Beta-Blockers













Are your eyes dry and irritated the day after drinking alcohol?

Yes

No

Sometimes

Are you known to sleep with your eyes partly open?

Yes

No

Uncertain

Do you have eye irritation when you wake up from sleep?

Yes

No

Uncertain