do or do not , there is no try How old are you? Under 21 21-39 40-55 Over 55 Do you have any of the following? Keratoconus Pregnant or Nursing Accutane Diabetes Cataracts Glaucoma Autoimmune Post Ocular Herpetic Infection Corneal Scarring Keloid None What do you normally use for vision correction? Glasses Contacts Reading glasses What type of contacts do you wear? Hard Gas Permeable (GP) Soft Monovision How long have you worn contacts? Has your glasses / contacts prescription been the same (or close to the same) for the last two years? Yes No Is the first number of your current prescription more than -9.00? Yes No Name Email Phone Number GREAT NEWS! Based on your answers you appear to be a good candidate!