LASIK Evaluation Test

  1. *
  4. *
  6. 1. Any trouble seeing far or near?
  8. 2. Age
  10. 3. What do you currently use for vision correction?
  13. 5. Has your prescription been stable for the last two years?
  15. 6. Would you like to see up close without reading glasses?
  17. 7. Do your eyes hurt after prolonged of eyeware use?
  19. 8. Would you experience an improvement in your career or business activities by lessening your dependency on glasses or contacts?
  21. 9. Do you have astigmatism?
  23. 10. Statistics prove that over 98% of LASIK patients see 20/40 or better after surgery. Despite the amazing safety and results of this procedure there are still risks associated with LASIK Surgery, would you be willing to discus these risk further with our LASIK specialist?
  25. 11. If you are not a LASIK candidate, would you like to hear about other options available?
 

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