Please check if you are:
Please check your professional/business status:*
If Optometric Student, please check year of school
Which of the following do you buy, specify or influence the purchase of: (check ALL that apply)
Which services do you offer? (Check ALL that apply)
In addition to the above, do you also offer comprehensive services in any of the following specialty areas? (Check ALL that apply)
What is the approximate annual sales volume at your business?
Do you currently co-manage surgical patients?