LASIK Self-Test

    0% Completion

    Take the self-test to see if you are a good candidate.

    Be sure to fill in your information so we can contact you and go over your results.

    What is your age group?

    13% Completion

    Without my glasses and contacts... (Check All That Apply)

    Next

    25% Completion

    What do you usually wear? (Click All That Apply)

    I see blurry even with glasses or contacts on:

    Has your prescription changed in the past 1 year?

    Next

    38% Completion

    I would like to see well at a distance without relying on glasses and contact lenses.

    Rate this statement on a scale of 1 to 5 with 1 = Strongly disagree.

    50% Completion

    I would like to see well up close without relying on glasses and contact lenses.

    Rate this statement on a scale of 1 to 5 with 1 = Strongly disagree.

    63% Completion

    Do you have any of the following conditions?

    Next

    89% Completion

    Can we text you?

    100% Completion

    Thank you for taking the test. Please click "GET RESULT" below and we'll contact you to go over your results.