MyEyes Survey

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About this survey

Thank you for participating in our survey, we appreciate and value your feedback. Before you begin, we wanted to remind you that this survey is voluntary and all provided survey responses will be collected anonymously. After submitting your survey responses, you will be taken to page to provide details on how to enter to win a $100 gift card for your participation in this survey.

Please select your age group:(Required)

Are you living with glaucoma or completing this survey on behalf of someone with glaucoma?(Required)

How long has it been since your glaucoma diagnosis?(Required)

Who first detected your glaucoma?(Required)

What prompted your glaucoma assessment?(Required)

Please specify what prompted your glaucoma assessment:(Required)

How frequently is your intraocular pressure (IOP) measured?(Required)

Is your IOP well controlled?(Required)

Did you rent, purchase, or rent and then purchase the iCare HOME or HOME2?(Required)

Who recommended that you use an iCare HOME or HOME2 tonometer?(Required)

Please specify who recommended that you use an iCare tonometer:(Required)

How has using the iCare HOME or HOME2 positively impacted your glaucoma journey?(Required)

	1 - No Impact	2	3	4	5 - High Impact
Enhanced sense of empowerment
Reduced anxiety
Greater reassurance
Improved understanding of eye drops and therapies' effects
Diminished fear of unknown IOP

Please rate on a scale 1-5. For reference: 1 - Represents the lowest positive impact. 5 - Represents the highest positive impact.

Other, not mentioned above

Did you have any ways not mentioned above that using the iCare HOME or HOME2 has positively impacted your glaucoma journey?

How has using the iCare HOME or HOME2 presented challenges or concerns in your glaucoma journey?(Required)

	1 - No Impact	2	3	4	5 - High Impact
Increased anxiety
Heightened sense of uncertainty
Difficulty interpreting IOP results
Worry about the accuracy of the device
Feeling overwhelmed by additional data

For each of the challenges or concerns below, please rate on a scale 1-5. For reference: 1 - Represents the lowest level of impact. 5 - Represents the highest level of impact.

Other, not mention above

Did you have any additional challenges or concerns in your glaucoma journey from using the iCare® HOME or HOME2 that are not mentioned above?

Do you experience anxiety about IOP fluctuations between visits?(Required)

Has the iCare HOME or HOME2 provided useful IOP data that influenced your management?(Required)

What changed based on this home IOP data?(Required)

What additional resources would you like to see for the iCare HOME or HOME2?

Please check all that apply.

More information about glaucoma and IOP

Treatment option resources

Glaucoma surgery resources

Patient support group information

Clinical trial information

Rank the factors that you believe impact your access to quality care.(Required)

Please rate on a scale 1-5. For reference: 1 - Represents the lowest impact. 5 - Represents the highest impact.

	1 - No Impact	2	3	4	5 - High Impact
Cost of Treatment (If Applicable)
Difficulty Accessing Medications
Difficulty Finding a Quality Provider
Lack of Patient Resources/Information

What do you hope to gain from the iCare HOME IOP data?

Did you inquire with your insurance company about reimbursement for a rental or purchase?(Required)

Did your insurance company reimburse you for your rental or purchase?(Required)

If yes, how much did they reimburse you, and what is the name of your insurance provider?(Required)

If you didn’t contact your insurance carrier, would you be willing to have a third party contact your insurance company and seek reimbursement for you for a small nominal fee?(Required)

Survey for MyEyes Customers

About this survey