Self Evaluation

Wondering if you may be a candidate for LASIK or another type of laser vision correction? Take our quick 1-minute self-evaluation to determine your vision correction options:

1. What is your age range?




2. Which do you use most frequently?




3. Do you have trouble seeing far-away or up-close? Check all that apply.




4. Do you have or suspect you have any of the following? Check all that apply.



5. Do you know your prescription today?  If so, please list below:
Left eye:
Right eye:
6. Which is the most important issue for you regarding your vision correction procedure?




7. If you were determined to be a good candidate, how soon would you like to have your procedure?


Your preliminary results will be displayed immediately and your profile will be sent to our vision counselors to clarify any points that need more information and to discuss your specific situation.

*First Name:
*Last Name:
*Email:
Phone:
Disclaimer: This survey does not replace an in-office exam, nor is it designed to provide online consultation. The information is intended for information purposes only and will help guide you to appropriate vision correction treatment(s) among the various procedures we offer today. It is not a determination for candidacy which can only be made through a thorough in-office examination and consultation.

 Spotlight

TECNIS® Symfony IOL
The first and only presbyopia-correcting extended range of vision IOL.
TECNIS® Symfony IOL
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Glaucoma & iStent
iStent works to help control your eye pressure by improving the outflow of fluid from your eyes.
iStent
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Diabetic Eye Disease
Diabetic eye disease is the leading cause of blindness in the 20-64 year age group.
Diabetic Retinopathy
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LenSx® Femtosecond Laser
The LenSx® Laser is the first femtosecond laser cleared by the FDA for use in cataract surgery.
LenSx® Femtosecond Laser
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