Lenses
Lens Checklist Your doctor and dispensary staff will help you choose the lens material and options that best meet your needs. The checklist below will help you provide the office staff with helpful information in determining the appropriate lenses and treatments for you. You can also download this checklist (.pdf) and take it with you when you pick out lenses.
I will wear these glasses:
Full-time Part-time For reading or close work only
I will perform the following activities while wearing my glasses: (check all that apply) Driving (daytime) Driving (nighttime) Playing sports Using a computer for several hours at a time Outdoor activities
I wear: Single vision glasses Bifocals Trifocals Don’t know
I am nearsighted and/or would like thinner lenses. Yes No
I would like sun protection included on my glasses. Yes No
I expect this pair of glasses to last for: One year Two years Three or more years
I own (or plan to own) more than one pair of glasses in my current prescription: Yes No
I plan to purchase an extra pair of glasses or prescription sunglasses: Yes No
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