Do you suffer from

Headaches?
Eye Strain?
Neck Pain?
Dizziness?
Dry Eyes?

Do you suffer from

Headaches?
Eye Strain?
Neck Pain?
Dizziness?

Complete Your Questionnaire in 5 minutes or less

How often do you experience Headaches:

How often do you experience stiffness or tension in your neck and/or shoulders when you work at a computer or read:

How often do you feel like your eyes are increasingly fatigued, tired or strained as the days goes on:

How often do you experience Dry Eyes:

How often do you experience Dizziness:

Additional Comments Or Notes (Optional)

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Do you suffer from

Do you suffer from

Complete Your Questionnaire in 5 minutes or less

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