25211 Coolidge Hwy

Oak Park, MI 48237

Phone Number

248-545-2800

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Generating Results…

1. How old is the child?

Select child’s age1 year old2 years old3 years old4 years old5 years old6 years old7 years old8 years old9 years old10 years old11 years old12 years old13 years old14 years old15 years old16 years old17 years old18 years old

2. Does the child wear glasses or contacts?

Yes



No

3.
At what age did your child first get glasses for myopia?

Select Child’s Age

4. Are the child’s parents myopic?

Both



Mother



Father



Neither



I’m not sure

5. How much of your child’s day is spent on close work?

Select near hours0 hours per day1 hour per day2 hours per day3 hours per day4 hours per day5 hours per day6 hours per day7 hours per day8 hours per day or more

6. How much of your child’s day is spent outdoors?

Select outdoor hours0 hours per day1 hour per day2 hours per day3 hours per day4 hours per day5 hours per day6 hours per day7 hours per day8 hours per day

7. Is the Child of Asian descent?

Mother



Father



Both



Neither



Prefer not to say

Please enter details

Survey Complete!

Genetic Risks

Environmental Risks

Individual Risks

Ethnicity Risk

Michigan Contact Lens Specialists understand what it takes to ensure your contacts fit as well as possible.

All information on our website should not be treated as medical advice. For all medical advice, contact a medical professional. 

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25211 Coolidge Hwy, Oak Park, MI 48237

248-545-2800

248-581-4074

• Mon - Fri: 9 AM - 4 PM

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