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How long have you been a contact lens wearer?
 
1 year
 
2-3 years
 
4-5 years
 
5+ years
 
 
 
How often are you supposed to change your contact lenses out?
 
Daily
 
Bi-Weekly
 
Monthly
 
Quarterly
 
Yearly
 
 
 
Do you change out your contact lenses as directed?
 
Yes
 
No
 
 
 
If no, how long do you over wear your contact lenses?
 
A few days
 
2 weeks
 
A month
 
3-6 months
 
6+ months
 
 
 
Do you sleep in your contacts?
 
Yes
 
No
 
 
 
Are your contacts approved for extended wear? (Sleeping in contacts)
 
Yes
 
No
 
 
 
What type of contact solution do you use?
 
Opti-free
 
Biotru
 
Clear Care
 
Other
 
 
 
 
Do you use any re-wetting drops while wearing your contact lenses?
 
Yes
 
No
 
 
 
What brand of contact lenses do you where?
 
Vistakon
 
Cooper Vision
 
Alcon
 
Bausch & Lomb
 
Other
 
 
 
 
How often do you change out your contact lens case?
 
3 months
 
6 months
 
9 months
 
Yearly
 
Other
 
 
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