What is your age group?
What do you usually wear?
Do you have any of the following?
Without my glasses and contacts
How interestsed are you in being able to enjoy outdoor activities and/or sports without glasses and contacts?
Are you interested in seeing well up close reading without glasses?
Would your career or business activities improve if you were to become less dependent on glasses and contacts?
Please provide us with the following contact information so that our executive
can get in touch with you.