
Question 2:
Do You wear...
Glasses
Contacts
Glasses & Contacts
Neither


Question 3:
Without your corrective lenses, do you have...
Trouble seeing far away
Trouble seeing up close
Overall blurry vision
Trouble with reading only


Question 4:
Have you ever been told you have astigmatism?
Yes
No


Question 5:
Which location would work best for you?
Towson
Columbia


Question 6:
What email should we send the results to?
Next


Question 7:
What is your first name?
Next


Question 8:
What is your last name?
Next


Question 9 (the final one!):
What phone can we use to call/text you?
Question 1 of 9
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