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? *
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.