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1. Do you have trouble seeing far away or up close?
Up Close
Far Away
2. How interested are you in being able to play sports without glasses and contacts?
It's very important to me NOT to wear glasses for activities such as sports.
It's not important to me. I do not mind wearing glasses.
3. Are you interested in seeing well up close (reading) without glasses?
Under 21
21 - 40
40 - 69
69+
4. Are you interested in seeing well up close (reading) without glasses?
It's very important to me NOT to wear reading glasses.
It's not important to me. I do not mind wearing reading glasses to see things up close.
5. Do you wear contact lenses or glasses?
Glasses
Contact lenses
6. Would your career or business activities improve if you were to become less dependent on glasses and contacts?
Yes
No
Maybe
7. Over 98% of LASIK patients see 20/40 or better after surgery. The results of LASIK laser vision correction have been tremendous for literally millions of people. Despite the amazing safety and results of this procedure there are associated risks. Are you willing to discuss these risks with our LASIK coordinator?
Yes
No
Thank you for your Interest. We will get back to you soon.
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Home
About
About
Our Staff
Meet our Doctors
Blog
LASIK
LASIK
LASIK Consultation
LASIK Self Evaluation
Cataracts
Cataracts
Premium Lens Implant
Premium Lens Self Test
Eye Health Examinations
Eye Health Examinations
What is an Eye Health Examination
Additional Testing
Common Eye Conditions
Optical
Optical
Eyewear Gallery
Hoya Lens Technology
Contact Lenses
Contact Lenses
Contact Lens Center
Contact Lens Fitting and Evaluation
Order Contact Lenses
Patient Center
Patient Center
Patient Forms
HIPAA Policies
Billing and Insurance
Promotions
Helpful Articles
Reviews
Contact Us
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