Question 1
*
Under 18
19-39
40-59
60+
Question 2
*
Glasses
Contacts
Glasses & Contacts
Neither
Question 3
*
Trouble seeing far away
Trouble seeing up close
Overall blurry vision
Trouble with reading only
Question 4
*
Yes
No
Question 5
*
*
yes
Question 6
*
Question 7
*
Question 8
*
Send me SMS reminders
*
Agree