1. Are you a male or female? Female
2. How old are you? 18
3. Do you wear (Y/N)..
a. Regular glasses: Yes
b. Reading glasses only: No
c. Contact lenses (state type if Y): Prescription soft lens contacts, cosmetic lenses (sometimes), Prescription circle lenses
4. Have you had laser eye treatment (Y/N): No
i) If Y..
a. What type was it:
b. When did you have it:
c. Are you satisfied:
ii) If N..
a. Are you considering it: Maybe.. not sure
b. If you are considering it, what type (state type, or that you’re not sure):
5. How many of your parents wear (0/1/2)..
a. Regular glasses: 1
b. Reading glasses only: 2
c. Contact lenses: 0
6. How many of your grandparents wear (0/1/2/3/4).. They're all dead ._ .
a. Regular glasses:
b. Reading glasses only:
c. Contact lenses:
7. Do you have siblings (Y/N): Yes
i) If Y, what portion of those above 6 years old wears (percentage/ fraction)..
a. Regular glasses: 1/3 (excluding me)
b. Reading glasses only: 0/3
c. Contact lenses: 0/3
ii) If N, move to the next question
8. Do you have a family member, including extended, that had laser eye surgery (Y/N):
i) If Y, are they satisfied (Y/N, and include multiple answers):
ii) If N, is anyone planning to (Y/N): No