Tell us about your experience with your Duette new patient fits, and be entered in a monthly $100
gift card drawing*!

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* 1. Which Duette lens did you prescribe?

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* 3. Describe your experience fitting Duette

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* 4. What advice would you give to a practitioner just starting to fit this lens?

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* 5. What three words would you use to describe Duette with Tangible Hydra-PEG?

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* 6. Please provide the following information in order to be entered in the monthly gift card drawing**

*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, randomly selected from all entries. Per the 2013 Sunshine Law, SynergEyes will be tracking and reporting the winner of the gift card drawing.

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* 7. 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.

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