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In the interest of keeping the testing process as efficient and cost-effective as possible, we would like to know more about the optical system including specifications, additional requirements, etc. Please answer the following questions to the best of your knowledge. If a lens prescription or list of specifications can be supplied in addition, please send them along with this questionnaire.

Name
Company
Phone
E-mail
How did you hear about us?
Name of Test Lens
Total number of lenses to be tested
Briefly describe the application for which the lens is used, and the type of testing desired.
       
First Order Properties:
EFL
mm
in
BFL
mm
in
Clear aperture diameter
mm
in
Housing diameter
mm
in
Infinite f/#(s)
   
Magnification(s)
   
Object size
mm
in
center-edge
edge-edge
degrees
Image size
mm
in
center-edge
edge-edge
degrees
 
Test Conditions:
Conjugates
         
Infinite
       
What is the field size?
       
Test wavelength bands
nm
µm
Image Plane
     
Curved
       
Flat
       
           

Please explain test conditions below.
What are the field points: on/off-axis object or image positions/angles?
For MTF testing, what are the significant frequencies for testing (line pairs/mm)?

What, if any, are the special considerations for this lens? Please include such information as the orientation of the lens (image/object), as well as any gate marks on the lens, which direction they should face (e.g., a mark on the barrel indicating it should be oriented in the sagittal/tangential plane), any additional optical elements that need to be placed in the system (e.g., glass in the object plane for a copier/scanner lens), source considerations, special fixturing requirements, ect.



You can electronically submit our form by clicking on the submit button. You can also fax it to us at 617-354-5946. Or you can print this page out and mail it to us at:

Optikos Corporation
286 Cardinal Medeiros Ave.
Cambridge, MA 02141