Jacksonville VRC - PROD

1. Are you 18-69 years old? *This question is required.

• Yes
• No

2. Do you wear soft contact lenses in both eyes (at least 3 days a week)? *This question is required.

• Yes
• No

3. Have you had lasik or any eye surgery? *This question is required.

• Yes
• No

4. Do you have cataracts, glaucoma or any other eye disease? *This question is required.

• Yes
• No

5. Have you had any eye trauma? *This question is required.

• Yes
• No

6. Do you have diabetes? *This question is required.

• Yes
• No

7. Do you have a chronic autoimmune disorder? *This question is required.

• Yes
• No

8. Are you pregnant or breast-feeding? *This question is required.

• Yes
• No

9. Clinic hours are Monday thru Friday 7 am to 7pm. Could you make arrangements to participate in studies during these hours? *This question is required.

• Yes
• No