YOUR OPINION IS IMPORTANT TO US
 
 

We want to know your thought on Transitions® lenses. Please take a minute and complete our survey.
 
 
Name
Email
Age
Address
City
Province
Postal Code
Telephone () -
 
Enter your Alternate Method of Entry Number that was emailed to you
 
Enter the Alternate ECP Location Identification Number that was emailed to you
 
 
 
 
   
   
  I would like to be included in future offers and promotions from Transitions Optical, Inc. I understand that I may remove my name from Transitions promotional mailing list at any time by calling 1-877-254-2590. 
   
  I would like to receive Insight, CNIB’s free monthly vision health e-newsletter, and future CNIB offers and promotions, which may from time to time include fundraising communications. I understand that I may remove my name from CNIB’s mailing list at any time by calling 1-800-563-2642 
 
 
 
 
1. Please indicate your age

18 - 34  
35 - 44  
45 - 54  
55  
 
2. Do you wear corrective lenses?   Yes   No  
 
3. If you said yes to #2 above, when was the last time you purchased new glasses?

Within the last 12 months  
12 to 24 months ago  
24 to 36 months ago  
More than 3 years ago  
 
4. Do you wear glasses with Transitions' lenses?   Yes   No  
 
5. Were you aware that Transitions lenses change when exposed to sunlight to protect your eyes from the sun's harmful UV rays?   Yes   No  
 
6. Do you wear sunglasses while you are driving?   Yes   No  
 
7. Are there children in your household?   Yes   No  
 
8. Do any of the children wear corrective lenses?   Yes   No  
 
9. What is your favourite outdoor activity?  
 
10. What are your children's favourite activities?