Valli Opticians Group, Clinicial Launch Event - Brighouse | CooperVision Contact Lenses

Full Name:

Practice Name:

GOC Number (if applicable)

Telephone Number

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Practice Address

On a scale of 1-10 how confident do you feel discussing Contact Lenses?

On a scale of 1-10 how confident do you feel with the details of the CooperVision range of products?

On a scale of 1-10 how confident do you feel fitting Multifocals?

On a scale of 1-10 how motivated do you feel to discuss Contact Lenses with patients?

What is your current rate of success in fitting multifocal lenses amongst your patients?

Dietary Requirements (leave blank if none)