Are your eyes red? Take part in a study Oculus Research Cary, North Carolina See if You Qualify! Red Eye Pre-Screening Questionnaire Are you 18 years of age or older?(Required) Yes No Date of Birth(Required)In the past 6 months, have you experienced eye redness, and do you either use a redness relief eye drop (e.g., Lumify, Visine Red Eye, Clear Eyes Redness Relief) or have interest in trying one?(Required) Yes No Not sure How would you rate your symptoms related to red eye? (0=none, 10=most severe)(Required) No Symptoms (0) Slight Symptoms (1-4) Noticeable Symptoms (5-7) Significant Symptoms (8-10) Do you use any Redness Relief eyedrops listed below, including the following? (Lumify, Visine Red Eye, Clear Eyes Redness Relief, Baush + Lomb Advanced Eye Relief Redness)(Required) Yes Yes, but I use a different eyedrop, not listed above None Please Specify item(s) and date(s) of last use:(Required)Please specify item(s) and date(s) of last use:(Required)Have you had any eye procedures, surgeries, or injections? (Including, but not limited to: eye lid surgery, retinal surgery, Botox around the eyes, etc.)(Required) Yes No Please specify what and when:(Required)Have any and all systemic conditions been stable for at least 30 days ?(Required) Yes No Please Specify(Required)Do you have any significant or uncontrolled medical conditions that could affect study participation or safety?(Required) Yes No Not sure Please Specify(Required)Please Specify(Required)Have you recently taken, or do you plan to take, any of the following medications?(Required)Corticosteroids (pills, injections, nasal sprays, creams/ointments), Cannabinoids (THC, CBD), Any eye drops, Oral antihistamines, decongestants, or NSAIDs, Cancer chemotherapy, Immunosuppressant medications, Antidepressants Yes No Not sure Please specify item(s) and date(s) of last use:(Required)Please Specify(Required)Your Name(Required) First Last Your Email Address(Required) Email Address Confirm Email Address Your Phone(Required)CAPTCHA CONTACT US
