| 1a. | Did you find what you were looking for on the site? Yes
 No
 | 
                 
                  | 1b. | If no, how could we improve the site to help you? 
 | 
                 
                  | 2a. | Did the information on this site change your opinion of 
                    vision improvement procedures? Yes
 No
 | 
                 
                  | 2b. | If yes, how did it change? I will have a vision improvement procedure
 I will not have a vision improvement procedure
 I will wait for future technology before having a vision improvement 
                    procedure
 Other:
 | 
                 
                  | 3. | Will you return to the site? Yes
 No
 Unsure
 | 
                 
                  | 4. | Would you recommend this site to a friend? Yes
 No
 | 
                 
                  | 5. | Have you visited MyClearVision.com? Yes
 No
 | 
                 
                  | 6. | How did you hear about us? E-mail from us
 From a friend
 Television
 Internet search
 From a healthcare professional
 Other:
 | 
                 
                  | 7. | Please enter your e-mail address: 
 |