Questionnaire for Health Care Professionals
Design       Material         Cosmetic           Order No.                
1) Did the patient find the lenses easy to handle?

2) How many hours does the patient wear the lenses per day?

3) How many hours of good comfort did the patient receive?

4. Did the patient achieve expected VA?

If no, how many lines less than the expected V/A?
5) Have you experienced any issues with lens reproducibility when fitting our lenses on this patient?

Please rate the reproducibility.

6) Are you happy for us to contact you regarding your feedback?

Complete below