First Name[\s\S](?<firstname>.*)[\s\S]Last Name[\s\S](?<lastname>.*)[\s\S]Phone[\s\S](?<phone>.*)[\s\S]E-Mail[\s\S](?<email>.*)[\s\S]*age group\?[\s\S](?<agegroup>.*)[\s\S]*seeing things up close[\s\S](?<farsightedness>.*)[\s\S]*cannot see very well[\s\S](?<astigmatism>.*)[\s\S]*-Glasses[\s\S](?<glasses>.*)[\s\S]*-Contacts[\s\S](?<contacts>.*)[\s\S]*-Reading Glasses[\s\S](?<readingglasses>.*)[\s\S]*following\?-(?<following>.*)[\s\S]*distance without relying on glasses and contact lenses.[\s\S](?<distance>.*)[\s\S]*close without relying on glasses and contact lenses.[\s\S](?<close>.*)[\s\S]*contacts\?[\s\S](?<wouldyourcareerimprove>.*)[\s\S]*Test Score[\s\S](?<testscore>.*)[\s\S]*Entry ID: (?<entryid>.*)[\s\S].*Referrer: (?<referrer>.*)[\s\S]*Host: (?<formhost>.*)