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. (Required.)

 

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