LASIK Self-Test
Answer a few brief questions and find out if LASIK may be an option for you!
Start
 
What is your age range? *


 
I usually wear... *


 
Do your glasses or contacts interfere with recreational activities or work? *

     
 
Without glasses or contacts... *


 
What is your main concern with LASIK? *


 
Have you had a LASIK evaluation before? *

     
 
If you are a LASIK candidate, when would you like to have the procedure? *


 
LASIK might be for you!

Based on your answers, it sounds like LASIK may be a great option for you!

To be sure, we offer a free LASIK consultation. There's no obligation, and it's simply our way of helping you understand your options and make the decision that's right for you.

Before you leave our office, you'll have all your questions answered, and you'll know which option we recommend for you and your unique vision.

Simply click 'Continue' to get started.

 
I usually wear... *


 
Do your glasses or contacts interfere with recreational activities or work? *

     
 
Without glasses or contacts... *


 
What is your main concern with LASIK? *


 
Have you had a LASIK evaluation before? *

     
 
If you are a LASIK candidate, when would you like to have the procedure? *


 
Looks like you may have multiple options!

Based on your answers, you likely have several options for your vision correction procedure.

You are likely a candidate for LASIK, and our KAMRA Corneal Inlay procedure might also be an ideal choice.

The next step would be to come in for your free LASIK consultation. There's no obligation, and it's simply our way of helping you understand your options and make the decision that's right for you.

Before you leave our office, you'll have all your questions answered, and you'll know which option we recommend for you and your unique vision.

Simply click 'Continue' to get started.

 
I usually wear... *


 
Do your glasses or contacts interfere with recreational activities? *

     
 
Without glasses or contacts... *


 
What is your main concern with LASIK? *


 
Have you had a LASIK evaluation before? *

     
 
If you are a LASIK candidate, when would you like to have the procedure? *


 
Looks like you may be a candidate for our LifeStyle Lens procedure.

The next step would be to come in for your free consultation. There's no obligation, and it's simply our way of helping you understand your options and make the decision that's right for you.

Before you leave our office, you'll have all your questions answered, and you'll know which option we recommend for you and your unique vision.

Simply click 'Continue' to get started.

 
First Name: *

 
Last Name: *

 
Phone Number: *

 
Our patient counselors sometimes send brief updates or reminders via text. Are you comfortable receiving text messages? *

     
 
Zip Code *

 
Did your optometrist refer you to our office? *

     
 
That's great! Who is your optometrist? *

Thanks for taking the time to review your LASIK candidacy. We'll be in touch soon!
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