I currently wear glasses: No Full-time Part-time If part-time, how often/when?: Occasionally Driving Reading / Computer After contact lens removal 1-2 times per week Half time Sports Weekends Social activities Other
I currently wear contacts: No Full-time Part-time If part-time, how often/when?: Occasionally Driving 1-2 times per week Half time Sports Weekends Social activities Other
Are your lenses comfortable? Yes No
Do you have any problems with your contacts? Dryness Redness Itchiness Poor Vision
Do you sleep with your contacts on? Yes No How often?: daily occasionally rarely Other
Are you currently experiencing any of the following?
Have you had any eye surgery? Yes No If yes, why?
Are you allergic to any medication?: Yes No If yes, what?: