Get Contact Lens Questionnaire

The Contact Lens Questionnaire is a vital tool for assessing your suitability for contact lens wear and ensuring you receive the best possible vision correction. This guide provides clear and detailed steps to help you complete the questionnaire accurately and efficiently.

Follow the steps to complete the Contact Lens Questionnaire easily.

1. Press the ‘Get Form’ button to access the Contact Lens Questionnaire and open it in the digital editor.
2. Indicate whether you currently wear contact lenses by selecting 'Yes' or 'No'. If you select 'No', please skip to the next section.
3. If you wear contact lenses, specify the type of lenses you currently use by checking either 'Rigid' or 'Soft'.
4. For users of soft contact lenses, select your current modality of wear from the options provided: 'Daily disposable', '2-week disposable', 'Monthly disposable', 'Quarterly replacement', or 'Other'.
5. Enter the age of your current pair of contact lenses in the designated space.
6. Assess your satisfaction with your current lenses by checking 'Yes' or 'No' for vision and comfort.
7. Choose whether you would like to continue with your current lenses or indicate any changes you desire.
8. Select your preference for contact lenses: 'Clear', 'Colored', or 'Both'.
9. Check all applicable discomforts you experience with your contact lenses.
10. Provide any specific concerns you have regarding your contact lenses in the available text field.
11. If applicable, review the included information about contact lens fittings and fees.
12. At the end of the questionnaire, affix your printed name, signature, and date to acknowledge understanding and agreement to terms.

Complete the Contact Lens Questionnaire online today to ensure your vision needs are met.