Venue: Victoria Hotel, Chadderton, Oldham, OL98DE Date: 14 June 2016 Time: 6:30pm - 8:30pm Full Name: * Practice Name: * GOC Number (if applicable) Telephone Number * Email Address (for organisational purposes only) * Practice Address Occupation * Contact Lens Optician Optometrist Dispensing Optician Store Owner Director Practice Manager Other How many years fitting experience do you have? * None 1-3 years 4-6 years 7-10 years Over 10 years On a scale of 1-10 how confident do you feel discussing Contact Lenses? * - Select -12345678910Not applicable On a scale of 1-10 how confident do you feel fitting Multifocals? * - Select -12345678910Not applicable On a scale of 1-10 how confident do you feel with the details of the CooperVision range of products? * - Select -12345678910Not applicable On a scale of 1-10 how motivated do you feel to discuss Contact Lenses with patients? * - Select -12345678910Not applicable What is your current rate of success in fitting multifocal lenses amongst your patients? * - Select -10%20%30%40%50%60%70%80%90%100%Not applicable Dietary Requirements (leave blank if none) Leave this field blank