How many times a month do you get a migraine?
*
Once
Twice
More than twice.
How bothersome is bright light when you have a migraine?
Mild
Moderate
Severe
Would you be interested in lenses/glasses designed to minimize light sensitivity during a migraine attack?
Yes
No
What is your name? (We'll use this only to notify you if/when we introduce this technology)
First Name
Last Name
Submit
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