Practitioner of The Year Entry

100 winners will receive a spare pair of CRT® lenses in your current prescription (prescription cannot be older than 12 months*), a year’s supply of contact lens solution, or CRT® apparel.

Entries will be accepted through November 30, 2010 and winners will be posted on crtvision.com on December 1, 2010.
Name * First Last
Gender
Date of Birth
Email
Phone - (###) - ### ####
1 - Were you fitted with CRT Lenses? *
If you answered YES to question 1, what month/year were you fit?
2 - Which type(s) of vision correction did you have before? * Soft Lenses Hard Lenses Glasses None
2a - Did you experience the symptoms of eye dryness with your previous vision correction device(s)?
2b - Since you wear CRT while you sleep, do you experience the symptoms of eye dryness during the day?
3 - On a scale of 1-5, how would you rate your satisfaction with CRT?
4 - How did you learn about CRT? *
4 - How did you learn about CRT? * Eye Doctor Family/Friend Online Newspaper TV Other
5 - Would you recommend CRT to others? *
Your CRT Eye Care Practitioner’s Name: * First Last
What are your hobbies?