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Exit Survey
 
 
How many refraction's do you do per month?
 
0-100
 
101-200
 
201-300
 
301-400
 
401-500
 
501-600
 
601-700
 
701-800
 
801-900
 
901-1000
 
 
 
How pair of glasses do you prescribe per month?
 
 
Other
 
 
 
 
Are you doing any orthoptic procedures?
 
Yes
 
No
 
 
 
Are you doing school screening?
 
Yes
 
No
 
 
 
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Streak
 
Lister bulb
 
Both
 
 
 
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Streak
 
Lister bulb
 
Both
 
 
 
 
 
 
Other
 
 
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