Smart Glasses Study Questionnaire

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Smart Glasses Study QuestionnaireDavid Ward2024-06-13T14:20:37-04:00

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First Name*

State of Residence*

Phone Number*

Email*

How did you hear about the Smart Glasses research study?*

Are you interested in a non-invasive research study for wearable Smart Glasses in NYC?*

Yes

How would you characterize your vision?*

No visual impairment (20/20)

Mild visual impairment (20/40-20/60)

Moderate visual impairment (20/60-20/200)

Legally blind (20/200 or lower)

Do you wear prescription glasses for everyday activities?*

Yes

Do you wear prescription contact lenses for everyday activities?*

Yes

Phone: (646) 215-6400

Fax: (646) 215-6401