Qualifying
Questions For Current Contact Lens Wearers
1. Are your contact lenses
as comfortable at the end of the day as they are
when you first put them in?
( )Yes ( ) No

2.
Do you use rewetting drops on a frequent basis?
( )Yes ( ) No
3. Do you ever have to remove your contact
lenses sooner than you want to because of discomfort?
( )Yes ( ) No
4. Are there activities that you are involved
in where your eyes feel uncomfortable or irritated
while wearing
your contacts? (Examples would be outdoor activities,
staring at a computer screen, riding on an airplane,
etc.) ( )Yes ( )No
If Yes, please explain
Qualifying Questions For
Patients Considering Contacts
HYDRACLEAR™
is the "science" inside this lens...
a remarkable moisture rich element that
acts as an internal wetting agent at the
surface and throughout the interior of the
lens resulting in exceptional long lasting
comfort for our patients. |
1. Why do you need vision
correction? (check all that apply)
( ) Near vision ( ) Distance vision
( ) Both ( ) Astigmatism ( ) Don't know
2. Have you ever worn
soft contact lenses before?
( )Yes ( )No
If Yes, why did you quit wearing them?
3. Are you interested
in contact lenses that can be worn for long periods
of time during the day (For example, all day and
into the evening)?
( ) Yes ( ) No

4.
Are there activities that you are involved in
where your eyes could easily dry out or become
irritated? (Examples would be outdoor activities,
staring at a computer screen, riding on an airplane,
etc.)
( )Yes ( ) No