What do you currently wear to improve your vision?
On average, how many hours per day do you wear your contact lenses?
Do you experience any of the following
on regular basis with your current contact lenses?
Please provide an answer for each.
Yes No
Lens Awareness
feel the lens in the eye
Yes No
End Day Discomfort Yes No
Eye Dryness Yes No
Eye Redness Yes No
Eye Tiredness Yes No
Which of the following best describes the typical day when you would wear contact lenses?
Please select one only.
Which of the following best describes your typical daily environment when you would wear contact lenses?
Please select one only.
What are you most concerned about in trying contact lens?
Are you interested in trying a contact lens that makes your eyes naturally bigger, more defined and sparkling?
Contact lens care, like cleaning and disinfection,
is essential for wearing contact lenses safely.
Tell us your lens care preference:
Do you have astigmatism?

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