Take a Brief Survey!

Please take a moment to answer the questions in our brief survey. Your responses will help us develop new programs and interactive features to better serve your needs. Everyone who participates in this survey will receive a free mug as our way of saying thank you.

Your responses to these questions are optional. They will be combined with responses from others and used in the aggregate to help us evaluate this program. The responses will not be used with information that will identify you personally.

By submitting your information you agree that it will be governed by our privacy policy.

All fields are required in order to receive your mug!


1. Overall, how would you rate this video e-mail?

Excellent
Very good
Good
Fair
Poor
2. In what ways, if any, do you think your toric presentation habits will change or be affected based on viewing this video email?

Check all that apply:
   Fit more patients
   Fit more astigmatic patients
   Fit more spectacle patients
   Present to patients more often
   Fit more new wearers
   Would not change prescribing patterns
3. How credible was the speaker in this video e-mail?
Very credible
Somewhat credible
Not at all credible
4. Are you likely to fit ACUVUE® Brand TORIC Contact Lenses more often based on viewing this video e-mail?
Yes
No
5. What is your toric lens of choice?
ACUVUE® TORIC
SoftLens66®
Frequency® 55
Preference® Toric
Biomedics® 55
Focus® MONTHLY LENSES
Other
6. What is your overall success rate with that lens?
Very successful
Somewhat successful
Not successful
7. What is your biggest obstacle when fitting toric contact lenses when they do not work?
Lack of patient interest
Poor product performance
Too much chair time
Cost
Other:



Please enter the following information to be able to receive your Free mug!

Name:
Address 1:
Address 2:
City:      State:    Zip:
Phone:
Email:



SoftLens66® is a registered trademark of Bausch & Lomb, Inc.
Frequency® 55 and Preference® Toric are a registered trademarks of CooperVision, Inc.
Focus® MONTHLY is a registered trademark of CibaVision, Inc.
Biomedics® is a registered trademark of Ocular Sciences, Inc.
If you no longer would like to receive email messages from Boucher Communications, Inc., please use the link below to have your email address removed:
Removal Request | View BCI's Privacy Policy