Congratulations! 😍 you are eligible for FREE EYE CHECK UP Name Phone number City Do You Wear Spectacles ? Yes No Which Spectacles Do You Wear ? Near Vision Distance Vision Both What is Your Spectacles Power ? 0-2 2-5 5-7 7+ Spectacles Wearing From ? 0-5 Years 5-10 Years 10-15 Years 15 Years + Do you want freedom from glasses ? Yes, Definitely Not now but need more information on it submit