Trial Contact Lens Lens Feedback

Please provide us your feedback on the supplied trial contact lenses.

Name

First Name

Last Name

Email Address

Did the trial lenses provide you with adequate vision and comfort?

Yes - Excellent, we'll be in touch to discuss pricing and order options.

No - To help us determine what can be improved, please provide further details below.

If you answered "No" above please provide details regarding the vision, comfort or both of the supplied trial lenses trial lenses.

Vision - Could you see all the things you needed to see during the day?

Yes - Please proceed to question regarding comfort

No - Please provide further details below

What about the vision was not optimal? Was it distance, near, both? One eye or both?

Comfort - How did lenses feel on your eye?

Great - No issues with comfort

Could be better - Please provide further detail below

Where the lenses not comfortable all the time or just after a while, if so after how long?

Any other feedback?

Once submitted we will call you within one business day to review and discuss next steps.