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What grade are you in?
 
Freshman!
 
Sophomore!!
 
Junior!!!
 
Senior!!!!
 
 
Gender?
 
Male
 
Female
 
 
Do you regularly wear contact lenses?
 
YES
 
NO
 
 
Why do you wear contacts?
(check all that apply)
 
They look good.
 
Sports.
 
I'm almost blind!
 
 
How long have you been wearing contacts?
 
Less than 6 months
 
6 months - 1 year
 
1 year - 2 years
 
More than 2 years
 
 
How often were you instructed to change to a new pair of contacts?
 
Every day
 
Every two weeks
 
Every month
 
Other
 
 
 
How often do you REALLY change to a new pair?
 
Every day
 
Every two weeks
 
Every month
 
Whenever the old pair rip or get lost
 
Do you do any of the following:
Almost always(: Sometimes:| Rarely or never:/
Clean each contact before putting it in your eye?
Clean each contact after taking it out of your eye?
Change the solution in your container daily?
Wash your container with soap every day?
Completely dry your container after washing it?
Alternate wearing glasses and contacts?
Sleep in your contacts at night?
Wash your hands before handling your contacts?
Remove your contacts while swimming in a pool?
Remove your contacts while swimming in a lake, river, or ocean.
 
 
Have you ever gotten an eye infection while you were a contact user?
 
Yes
 
No
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