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1
How old are you?
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18-30
31-49
50-65
65+
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2
Which of these do you currently use to correct your vision?
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Glasses
Contact Lens
Both Glasses and Contacts
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3
How much do you pay for glasses per year?
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$0
$100-$400
$400-$800
$800+
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4
How much do you pay for prescription sunglasses per year?
$0
$100-$400
$400-$800
$800+
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5
How much do you spend on contact lenses per year?
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$0
$100-$400
$400-$800
$800+
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6
How much do you spend on contact lens solution per year?
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$0
less than $50
more than $50
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7
How much do you spend on annual eye exams?
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$100-$150
$150-$250
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8
Name
First Name
Last Name
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9
Email
example@example.com
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10
Phone Number
Please enter a valid phone number.
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11
Total cost over your lifetime
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12
Yearly Savings Post No-Cut Laser Vision Correction
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13
Lifetime Savings Post No-Cut Laser Vision Correction
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14
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