Screen Reader Mode Icon

Please take this 10-question survey after using your Eyesafe product for at least 30 days.

Question Title

* 1. Your Name or Product ID:

Question Title

* 2. Your Company, School or Organization

Question Title

* 3. Your Email: 

Question Title

* 4. What type of Eyesafe product do you have?

Question Title

* 5. In a typical day, how many hours do you estimate that you are in front of a digital screen? (Including computer, laptop, phone or tablet)

Question Title

* 6. How problematic are the following issues for you since you began using your Eyesafe product?

  Not at all problematic Somewhat problematic Very problematic
Sore, tired, burning or itching eyes
Dry eyes
Blurred or double vision
Headaches
Sleep
Difficulty Focusing

Question Title

* 7. How much do you feel the following issues are associated with your use of digital devices and screens?

  Not at all associated Somewhat associated Very associated
Sore, tired, burning or itching eyes
Dry eyes
Blurred or double vision
Headaches
Sleep
Difficulty Focusing

Question Title

* 8. During a typical day, please rate the following on a scale of 1-5 (with 1 being very low and 5 very high)

  1 (Very Low) 2 (Low) 3 (Average) 4 (High) 5 (Very High)
Your Productivity
Your Energy
Your Efficiency

Question Title

* 9. Please rank the following statements on a scale of 1-5 (with 1 being don't agree and 5 being definitely agree)

  1 (Don't Agree) 3 (Agree) 5 (Definitely Agree)
My organization, company or school cares about me
My organization, company or school cares about my long term health
My organization, company or school is looking out for me

Question Title

* 10. What is your overall impression of your vision and comfort with your Eyesafe® product?

0 of 10 answered
 

T