Lasik

Find out if LASIK is right for you!

Take our quick and easy online LASIK Self Test to assess your vision and eye health. See if you might be a candidate for this life-changing procedure and take the first step toward a future free from glasses or contacts.

LASIK Self Evaluation Test

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What is your age range? *

18- 21

22 – 30

31 – 39

40 – 44

45+

What is your biggest motivation for looking into LASIK? *

Sports/Active Lifestyle

Work/Professional Life

Tired of wearing glasses & contact lenses

Dry eye when wearing contact lenses

Save money on glasses & contact lenses

Do you wear contact lenses? *

Yes, I mostly wear contact lenses

Yes, but rarely. I prefer wearing glasses

No, I never wear contact lenses

Do you suffer from dry eye? If so, do you use any eye drops? *

Yes, I have dry eye and use over the counter eye drops

Yes, I have dry eye but I do NOT use any over the counter eye drops

Yes, I have dry eye and I take prescription dry eye drops

No, I do not have dry eye and do NOT use any eye drops

Have you ever been evaluated to see if you’re a candidate for LASIK or PRK? *

Yes, I have already been told I am an ideal candidate

Yes, but I am unsure if I am a good candidate

No, I have never had a LASIK consultation

What is your current glasses and/or contact lens prescription? *

-0.25 to -1.75

-2.00 to -3.75

-4.00 to -6.75

-7.00 to -9.75

-10.00 or higher

Name *

Name

First Name

First Name

Last Name

Last Name

Email *

Phone *

Submit

If you are human, leave this field blank.

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