YUVEZZI™

Thank you for participating in this approximately 5-minute survey. To the best of your ability, please answer the following questions regarding your experience and that of your patients using YUVEZZI, indicated for the treatment of presbyopia in adults.1 Please note that your responses are confidential and will not be shared with outside parties.

An answer to each question is required unless otherwise noted.

1. Approximately how many patients have you prescribed YUVEZZI to so far?
2. What types of patients have you prescribed YUVEZZI to? 

(Select all that apply)
3. Based on your experience so far, which aspects of YUVEZZI do you consider key strengths?
(Select all that apply)
4. Based on your experience and on feedback received from your patients, how would you describe the duration of effect of YUVEZZI for meeting your patients’ near-vision needs?
5. Based on your experience and on feedback received from your patients, how would you rate the tolerability profile of YUVEZZI so far?
6. Overall, how would you rate your experience with YUVEZZI compared to other topical miotic drops you have prescribed?
7. Based on your experience so far, how do you expect your prescribing of YUVEZZI to change over the next several months?
8. Looking ahead, how do you anticipate positioning YUVEZZI for appropriate presbyopia patients?
9. How likely are you to recommend YUVEZZI to a colleague?
Please share your practice ZIP code
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First Name
Last Name
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Specialty Type
National Provider Identifier (NPI)

I understand I am giving Tenpoint Therapeutics, its affiliates, and business partners permission to use the personal information provided in this registration form, as described in this authorization. I understand that the information I am providing may be used by Tenpoint Therapeutics and its contracted third-party representatives to provide me with health and product information and related services concerning health conditions and treatments. By submitting this form, I consent to these uses and am confirming that I have read and agree to the Tenpoint Therapeutics Terms of Use and Privacy Policy. I understand that Tenpoint Therapeutics and its contracted third-party representatives will NOT sell or rent my personal information, and that the information provided in this form will be used in accordance with the Tenpoint Therapeutics Privacy Policy. I agree that this authorization will expire ten (10) years from the date submitted, or until my participation in the program ends through my cancellation. I acknowledge that I am submitting this form voluntarily, and that I am at least 18 years of age.

Thank you for your time! If you have any additional questions or comments, please connect with your Tenpoint Sales Representative or contact us directly.

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