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* 1. Please mark any of the dry eye treatments you have already tried.

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* 2. Please mark any of these dry eye treatments you have already tried.

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* 3. Please mark any of the dry eye treatments you have already tried.

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* 4. Please mark any of the dry eye treatments you have already tried.

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* 5. Please mark any of the dry eye dietary treatments you have already tried.

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* 6. Have you had IPL Treatment?

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* 7. If you wish for us to contact you, this question must be completed.

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* 8. Your Comments

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