Contact Lens Care

ReNu MultiPlus® Solution Care Guide Questionnaire

We hope you are enjoying your Bausch & Lomb ReNu MultiPlus® Multi-Purpose Solution.  Please complete the questionnaire below to receive additional savings by mail.  Up to $4.00.

For more information about ReNu MultiPlus Multi-Purpose Solution, please visit www.renucares.com.

Please complete the following information:

* First Name:
* Last Name:
* Address:
* City:
* State:
* Zip Code:
Phone Number:
* Age:
Email Address:
* How long have you worn contact lenses?
* How long have you used ReNu Solutions?
What lens modality do you wear?	One Day 2-Week Monthly
What type of lenses do you wear?	Regular Toric Multi-Focal
* Which of the following systems has your practitioner recommended in the past two years?	ReNu MultiPlus Multi-Purpose Solution ReNu Multi-Purpose Solution ReNu with MoistureLoc Solution Opti-Free Replenish CIBA Vision Clear Care CIBA Vision Aquify AMO Complete MoisturePLUS Alcon Opti-Free Express No Rub Other
Practitioner Name:
Practitioner Zip Code:

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