Since when have you been having this problem ? WeeksMonthsYears
Is there any pain in your eyes? YesNoOccasionally
Do your eyes feel tired? YesNoOccasionally
Is there a sandy feeling in your eye ? YesNoOccasionally
Is there redness in your eye ? YesNoOccasionally
Is there a sticky discharge from your eyes? YesNoOccasionally
Do you feel like shutting your eye tight ? YesNoOccasionally
Do eye drops only give you temporary relief ? YesNo
Have you got any investigations done?(If yes, then please mention the details of the results in the 'more symptoms' column) yesNo
Are you already a patient with Dr.Manoj's Homeopathy? If yes, then please state your Registration Number in the text box. YesNo
Do you suffer with headaches? YesNoOccasionally
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