Survey for <+ prescription>
The questionnaire is for collecting customer feedback. Please answer to this questionnaire only if you have + prescription.
What's your power (SPH)?
Please answer only if you have + prescription and please answer with a +. For example, +5.50
What is your favorite Collection of COLORCL contact lenses?
If you can order + prescription, which colors would you like to order? (Please write up to 5 items in the order you prefer.)
Please enter the full name of the product. For example, Siesta Crystal Halo Sky.
How much did you pay for your current pair of lenses for your farsightedness?
10~15 USD for a pair
16~20 USD for a pair
21~25 USD for a pair
25~30 USD for a pair
31~35 USD for a pair
36~40 USD for a pair
What else would you like to request?
If you would like to receive an email when purchase + prescription is available, please write your email address. (If you don't want, type No)
This questionnaire can only be submitted once, so please review it carefully before send. Thank you for your support and love for our contact lenses!
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This form was created inside of COLORCL.