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Welcome to MindMate Research!

Health research changes people’s lives every day. Researchers still need your help. Many studies end early because there are not enough volunteers. For this study, we recruit candidates with presbyopia (age-related near vision loss).

The study evaluates the use of corneal tissue to correct near vision loss to eliminate the need for reading glasses or contact lenses. If you are interested in registering as a candidate for this study, please complete the survey below.

Your name and contact information will not be shared and your answers will remain confidential. We will not use your information for any purpose other than to screen you for potential participation in this research study.

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1. Do you wear (reading) glasses or contact lenses for reading?

Yes

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2. Do you see clearly at a distance without glasses or contact lenses?

Yes

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3. When did you start needing your reading glasses?

Before I was 40 years old

I was between 40 and 44 years old

After 45 years old

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4. What is the power of your reading glasses?

Less than +1.75 of reading add

Between +1.75 and +3.50 D of reading add

More than +3.50 D of reading add

I don't know

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5. Do you ever wear glasses while driving?

Yes

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6. Have you had eye surgery?

Yes

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7. Do you regularly use artificial tears (=lubricating eye drops)?

Yes

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8. To which hospital do you wish to be referred to for this study if you are a match for this research study?

Center for Sight, Oxshott or East Grinstead

Queen Victoria Hospital, East Grinstead

MindMate Research

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1. Do you wear (reading) glasses or contact lenses for reading?

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2. Do you see clearly at a distance without glasses or contact lenses?

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3. When did you start needing your reading glasses?

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4. What is the power of your reading glasses?

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5. Do you ever wear glasses while driving?

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6. Have you had eye surgery?

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7. Do you regularly use artificial tears (=lubricating eye drops)?

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8. To which hospital do you wish to be referred to for this study if you are a match for this research study?

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9. What is your date of birth (please use the following format YYYY-MM-DD)?

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10. What is your first name?

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11. What is your last name?

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12. What is your email?

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13. What is your phone number?

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14. What is your ZIP/Postal code?

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15. When would be a good time for a researcher to contact you (we know you are busy)?

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16. Anything else you would like to tell the research team?