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Survey Page
Survey Page
What are your 5 preferred Optical Shops?
How often do you visit an optical shop?
Every 6 months
Every year
Every 2 years
Every 3 years
Every 5 years
Others
Name 5 influencers who will make you want to wear eyeglasses
Which one do you use daily? (You can choose more than 1)
Eye Frame
Contact Lenses
What is your preferred type of eye frame? (You can choose more than 1)
Metal
Acetate
Stainless
Wood
Titanium
Others
Choose your preferred type of Lenses (You can choose more than 1)
Single Vision
One optical prescription correction with evenly distributed focus
Bifocal
Two optical prescription correction for distance and near vision focusing need.
Tinted
Colored Lenses
Anti-Radiation
Protecting your eyes from Blue light coming from the screen of your device.
Occupational
Provides excellent vision for close-distance activities at work.
Progressive
Allows you to see clearly at multiple distances without a bifocal line.
Polarized
Polarized lenses not only reduce glare, they make images appear sharper and clearer, increasing visual clarity and comfort.
Others
Face Shape
The face shape is an important factor in choosing frames because it can affect the overall look and fit of the glasses. Certain frame styles can complement or accentuate certain facial features, while others can detract from them. Choosing frames that are proportional to the face shape can also help ensure that the glasses fit comfortably and securely.
Round
Oval
Square
Heart
Diamond
Choose your Type of Contact Lenses (You can choose more than 1)
Colored
temporarily altering the color of the iris
Clear
comfortable way to see clearly without glasses
Graded
grade of correction that your eyes need
Soft
flexible, more comfortable & easier to adjust
Disposable
brand new pair of lenses is used each day
Others
What is your Lifestyle (You can choose more than 1)
Fashion
Reading
Travel
Sports
Adventure
Others
Which brand do you prefer
Ray-Ban
Prada
Emporio Armani
Guess
Giorgio Armani
Michael Kors
Bolon
Elle
Burberry
Esprit
Tony Morgan
Others
Would you like to receive a Free Sodexho Certificate? Please leave your contact info
First Name
Last Name
Mobile Number
Please enter a valid mobile number starting with +639 or 09.
Email Address
Please enter a valid email address.
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