Prevent Blindness America: Survey - Contact Lens Student Survey

Contact Lens Student Survey

Thank you for participating in this short survey. Your feedback will help Prevent Blindness America in its efforts to improve public education and awareness on contact lens care and safety.

For more information or questions, please call us at 1-800-331-2020.

1.

Question - Not Required - Which type of contact lenses do you wear? daily wear soft contact lenses
extended wear soft contact lenses
hard contact lenses

2.

Question - Not Required - Have you ever developed a serious corneal infection requiring intense antibiotic treatment since wearing contact lenses?

3.

Question - Not Required - If you use a contact lens case, how often do you replace the case with a new one? every month
every three months
every six months
yearly
never
do not use a case

4.

Question - Not Required - If you use a contact lens case, how often do you reuse or top-off old solution in your contact lens storage case? never
sometimes
most of the time
every time
do not use a case

5.

Question - Not Required - If you use a contact lens case, how often do you rinse storage cases with sterile contact lens solution and leave the cases open to dry after each use? every time
most of the time
sometimes
never
do not use a case

6.

Question - Not Required - How important is it to wash your hands with soap and water and then completely dry your hands prior to removing or inserting your contact lenses? definitely important
probably important
not sure
probably not important
definitely not important

7.

Question - Not Required - Which method do you currently use to clean your contact lenses? no-rub method
"rub and rinse" (after rubbing, you rinse lenses thoroughly with a multipurpose disinfecting solution)
no method used

8.

Question - Not Required - How often do you use tap water to rinse your contact lens and storage cases? never
sometimes
most of the time
every time

9.

Question - Not Required - How often do you remove your contact lenses before engaging in any activity involving contact with water, like showering, swimming or using a hot tub? every time
most of the time
sometimes
never

10.

Question - Not Required - How often do you sleep overnight while wearing your contact lenses? never
sometimes
most of the time
every time

11.

Question - Not Required - After reading the contact lens article in your student newsletter, which of the following actions will you take to change the way you wear and care for your contact lenses? (please check all that apply)

	read the instructions for your contact lens solution
	replace lens cases at least every three months
	fill contact lens case with fresh solution each time you clean your lenses
	wash and complete dry hands before removing or inserting contact lenses
	Use a "rub and rinse" cleaning method rather than a "no-rub" method
	Never use tap water to rinse lenses and storage cases
	Rinse storage cases with sterile contact lens solution and leave the cases open to dry after each use
	Never transfer contact lens solution from its original container to anything other than storage cases.
	remove contact lenses before showering
	remove contact lenses before any activity involving contact with water, like swimming or using a hot tub
	remove contacts and consult eye care professional if signs of infection occur
	none of the above

12.

Thank you for taking this survey. If you would like to receive eye health and safety news from Prevent Blindness America, please provide your contact information in the space below. We will not share your address or phone number with any other party. For more information about this campaign, please call 800-331-2020.

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