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Appointment Type ---New glassesEye testI have eye problemsOther Date of last eye test ---Less than a year1-2 years agoOver 2 years agoNever
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Preferred Time ---9am to 12pm12pm to 4pmAfter 4pm Place of last eye test ---Vision ClinicBootsOptical ExpressSpec SaversVision ExpressOther Where did you hear about us? ---Existing customerVisited storeRecommendationWeb searchSocial Media
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