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               Welcome 
  
  
  
  
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               Right Eye Problems 
  
  
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               Left Eye Problems 
  
  
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               How would you describe your issue? 
  
  
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               How bad are your symptoms? 
  
  
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               When did your problems start? 
  
  
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               How did it start? 
  
  
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               What made it worse? 
  
  
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               What made it better? 
  
  
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               Any other problems at the same time? 
  
  
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               When do you have difficulty? 
  
  
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