Tell us about your experience with your Duette new patient fits, and be entered in a monthly $100gift card drawing*! Question Title * 1. Which Duette lens did you prescribe? Duette Duette Progressive Question Title * 2. Patient's previous modality: Daily Soft Lenses Bi-Weekly Soft Lenses Monthly Soft Lenses GP Lenses New Contact Lens Wearer Other Question Title * 3. Describe your experience fitting Duette Question Title * 4. What advice would you give to a practitioner just starting to fit this lens? Question Title * 5. Please provide the following information in order to be entered in the monthly gift card drawing** Practice Name Practitioner Name Email Address *One entry per new Duette patient feedback; up to five Duette and five Duette Progressive entries per practitioner welcome.**One $100 gift card drawing per month July - December 2016, randomly selected from all entries. Per the 2013 Sunshine Law, SynergEyes will be tracking and reporting the winner of the gift card drawing. Question Title * 6. By checking this box, I understand my comments and testimonial as outlined above may be used in connection with publicizing and promoting SynergEyes, and I agree that I will make no claim against SynergEyes for the use of the statement. I agree Done
