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* 1. Name

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* 2. Email address (only to be used for contacting the winner)

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* 3. What age are you?

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* 4. Have you ever needed a pair of new prescription glasses urgently?

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* 5. Have any of the below situations happened to you and your glasses:

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* 6. In a few lines, please tell us a bit more about the reason why you needed a new pair of glasses so urgently...

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* 7. Finally, please tell us about any further bizarre/ random/ ridiculous situations where you have either lost or damaged your glasses, meaning you urgently need a new pair?

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