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Are you above 18:  
What type of corrective lens do you use:
Contact Lens used Last:
Duration of documented refractive stability: Years
Did you have any eye infection or injury with in the past year?  
Have you undergone any eye surgery earlier?  
Have you been diagnosed with an autoimmune disorder, such as
rheumatoid arthirits / Sjogren's Syndrome or Lupus ?
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