Lens Usage Survey
Help us understand your lens usage habits and experiences by completing this survey.
Full Name
*
First Name
Last Name
Email Address
*
example@example.com
Age
*
Gender
*
Male
Female
Non-binary
Prefer not to say
What type(s) of lenses do you currently use?
*
Contact lenses
Eyeglasses
Sunglasses
Camera lenses
Other
How often do you use your lenses?
*
Please Select
Daily
Several times a week
Once a week
Occasionally
Rarely
How long have you been using lenses?
*
Please Select
Less than 1 year
1-3 years
4-6 years
More than 6 years
Please rate your overall satisfaction with your current lenses.
*
1
2
3
4
5
Lens Experience Evaluation
*
Rows
Comfort
Clarity of vision
Ease of cleaning
Durability
Affordability
Very dissatisfied
1
2
3
4
5
Dissatisfied
6
7
8
9
10
Neutral
11
12
13
14
15
Satisfied
16
17
18
19
20
Very satisfied
21
22
23
24
25
Which brand of lenses do you primarily use?
Please Select
Acuvue
Air Optix
Bausch & Lomb
CooperVision
Ray-Ban
Canon (camera lenses)
Nikon (camera lenses)
Other
Have you experienced any problems or discomfort with your lenses? (Select all that apply)
Dryness
Redness or irritation
Blurriness
Frequent cleaning required
No issues
Other
Why did you choose your current lens type/brand?
Comfort
Price
Recommendation by eye care professional
Brand reputation
Availability
Other
How likely are you to recommend your current lenses to others?
*
Not likely
1
2
3
4
5
6
7
8
9
Very likely
10
1 is Not likely, 10 is Very likely
Do you have any suggestions or comments regarding your lens experience?
Submit Survey
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