Please respond to the following questions thoughtfully and honestly. Your responses will be grouped with those of other LipiFlow® participants to assure your anonymity.

The first few questions ask you to compare how your dry eye condition negatively impacted your life BEFORE the LipiFlow® treatment with the improvement you have experienced since receiving the treatment.

Completing this brief survey completes your requirements for the rebate. We thank you for your time.

Question Title

* 1. Enter the number on the rebate check you received.