OSDI Form

First Name

Last Name

Phone Number

Have you experienced any of the following during the last week:

Eyes that are sensitive to light?

Eyes that feel gritty?

Painful or sore eyes?

Blurred Vision?

Poor vision?

Have problems with your eyes limited you in performing any of the following during the last week:

Reading?

Driving at night?

Working with a computer or bank machine? (ATM)

Watching TV?

Have your eyes felt uncomfortable in any of the following situations during the last week:

Windy conditions?

Places or areas with low humidity (very dry)

Areas that are air conditioned?

I agree to give consent for River Heights Optometry to use my quiz.

Land Declaration

We acknowledge that we are gathered on ancestral lands, on Treaty One Territory. This is the traditional territory of the Anishinaabeg, Cree, Oji-Cree, Dakota, and Dene Peoples.

Site Map

Hours of Operation

Monday Closed
Tuesday 10:00 am – 6:00 pm
Wednesday 9:00 am – 4:00 pm
Thursday 10:00 am – 6:00 pm
Friday 9:00 am – 4:00 pm
Saturday 9:00 am – 2:00 pm
Sunday Closed

Winnipeg, Manitoba website design by Addison Marketing Solutions.

OSDI Form

NEW! Our hours have changed for 2024