(201) 728-9222

196 Paterson Avenue, East Rutherford, NJ 07073

Welcome To Our Office in East Rutherford, NJ . We Welcome New Patients. Request Your Appointment Today Request Your Appointment Today

William C. Fruchtman, O.D.

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SPEED™ Questionnaire

  • For the Standardized Patient Evaluation of Eye Dryness (SPEED) Questionnaire, please answer the following questions by checking the box that best represents your answer. Select only one answer per question.

    1. Report the type of SYMPTOMS you experience and when they occur:

  • 2. Report the FREQUENCY of your symptoms using the rating list below:

    0 = Never
    1 = Sometimes
    2 = Often
    3 = Constant

  • 3. Report the SEVERITY of your symptoms using the rating list below:

    0 = No Problems
    1 = Tolerable - not perfect, but not uncomfortable
    2 = Uncomfortable - irritating, but does not interfere with my day
    3 = Bothersome - irritating and interferes with my day
    4 = Intolerable - unable to perform my daily tasks
  • This field is for validation purposes and should be left unchanged.

Appointments

We will do our best to accommodate your busy schedule. Request an appointment today!

Request Appointment

Languages spoken:
English, Hablamos Español, Rozmawiamy po Polsku

Office Hours

Monday: 9:00 AM – 6:00 PM
Tuesday: 9:00 AM – 6:00 PM
Wednesday: 9:00 AM – 7:00 PM
Thursday: 9:00 AM – 5:00 PM
Friday: 9:00 AM – 12:00 PM
Saturday: Closed
Sunday: 8:00 AM – 2:00 PM (By appointment only.)

Phone: (201) 728-9222

Address: 196 Paterson Avenue
East Rutherford, NJ 07073

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