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Before we get back to you, we’d like some basic anonymous information to help determine your eligibility:
1. Has your vision and/or your prescription been stable over the last 18 months?YesNo
2. Are you intending to fall pregnant, currently pregnant or breastfeeding, or have you breastfed within the last three months?YesNo
3. Do you have any significant medical or eye problems, such as keratoconus (a progressive thinning of the cornea), glaucoma or diabetes?YesNo
4. Are you under 20 years old?YesNo
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Please fill out your contact info and your best contact time for us to call you back.