User Survey

 

We welcome your feedback to help us provide professionals like you with the information you need. Please take a moment to give us your thoughts. We appreciate your time and honest input.

1a. Did you find what you were looking for on this site?
Yes
No
   
   
1b. If not, what were you hoping to find?
   
   
2. How did you find this site?
Search engine
Referred by colleague
Word of mouth
Other:
   
   
3. Please indicate your profession:
Ophthalmologist
Optometrist
Technician/medical assistant
Other:
   
   
4a. Do you currently perform vision correction surgery?
Yes (proceed to next question)
No (skip next question)
   
   
4b. What type(s) of vision correction surgery (select all that apply)?
LASIK
PRK
LTK
ICRS/INTACS
Other:
   
   
5. What has prevented you from incorporating vision correction surgery into your practice?
Cost of investment
Additional training
Concerns about safety
Procedures not proven effective enough
Inability to perform in-office
Other:
   
   
6. What do you find most appealing about NearVisionsm CK® (Conductive Keratoplasty®)?
In-office
Long-term results
Cost
Minimally invasive
Laserless
RF technology
Hyperopia indication
   
   
7. How did you hear about NearVision CK?
Journal
Scientific meeting
Colleague
News
Advertising
Other:
   
   
8. Please enter your e-mail address:
   
   
     

 

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