Lifestyle Vision Designer

Age*

How bad is your vision?*

How do you help yourself see?*

Do you have any eye diseases (e.g. glaucoma, keratoconus)?*

Do you have any autoimmune diseases (e.g. psoriasis, rheumatoid arthritis, lupus)?*

Are you pregnant or breastfeeding?*

Are you currently involved in any contact/traumatic sports (e.g. boxing)?*