Thank You

Thank you for your order!

We just need a bit more information before we can start processing your order. Please fill out the form below and give us as much detail as possible.

To ensure the mask works for you, please tell us your normal hours of sleep e.g. 10pm – 7am*

Do you work shifts? Please give time details (If yes, we will need to call you to discuss - please expect our call.)*

Are you travelling out of the UK within the next 4 months? (If yes, we will need to call you to discuss- please expect our call.)*

Yes

Date of birth

If you would prefer we can call you to discuss details; please enter preferred call back time

If a healthcare professional signposted or referred you to us, please note their name and medical / optical practice here

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Thank you for your order!

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