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1. Are you actively fitting contact lenses in your mode of practice?

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2. In what geographic region are you practicing?

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3. How many different patients does your practice see for any reason in an average week? (ALL patients, not just contact lens patients)

0 500
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i We adjusted the number you entered based on the slider’s scale.

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4. What percentage of these patients are contact lens patients?

0% 100%
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i We adjusted the number you entered based on the slider’s scale.

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5. How many contact lens fits/refits does your practice perform in an average week?

0 500
Clear
i We adjusted the number you entered based on the slider’s scale.

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6. Approximately what percentage of the contact lens fits/refits in your practice is represented by each type of material? (Please ensure your responses total 100)

  Percentage
Hydrogel
Silicone Hydrogel
Gas permeable
Hybrid

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7. Approximately what percentage of the contact lens fits/refits in your practice is represented by each type of design? (Please ensure your responses total 100)

  Percentage
Spherical Soft
Spherical Corneal GP
Toric Soft
Toric Corneal GP
Multifocal Soft
Multifocal GP
Scleral
Scleral Multifocal
Orthokeratology
Hybrid
Hybrid Multifocal

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8. Approximately what percentage of the contact lens fits/refits in your practice is represented by each of the following soft lens categories? (Please ensure your responses total 100)

  Percentage
Cosmetic (colored)
Multifocal
Spherical
Toric

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9. Of the patients in your practice wearing some form of a GP material, what percentage are wearing each of the following categories? (Please ensure your responses total 100)

  Percentage
Corneal GPs
Scleral GPs
Orthokeratology
Hybrids

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10. In which of the following specialty contact lens designs do you see the greatest growth potential over the next year?

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11. Approximately what percentage of the soft contact lens fits/refits in your practice is represented by each type of replacement schedule? (Please ensure your responses total 100)

  Percentage
Daily
Weekly/2 week
1 month
3 months
Annual

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12. Are you actively practicing myopia control with contact lenses in children or teenagers?

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13. If you are actively practicing myopia control with contact lenses in children or teenagers, what type of contact lenses are you using most frequently?

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14. Please select the word that best completes this sentence:

In the next year, I see my overall contact lens practice ______.

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15. What percentage of your patients utilize each of the following sources to purchase their contact lenses? (Please ensure your responses total 100)

  Percentage
My practice
Another practice
Through a third-party retailer independent of a practice setting (such as a pharmacy or store)
Online

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16. Which of the following best describes your job title? (Required.)

T