Do you wear glasses?
*
Yes
No
Sometimes
Would you prefer not to wear glasses after the surgery?
*
Yes
No
Do you need good vision for activities like reading, driving, or playing sports?
*
Yes
No
Are you aware of any other eye problems that might affect how well you can see after eye surgery?
*
Yes
No
Are you aware of any health problems that make it risky for you to have eye surgery?
*
Yes
No
Do you have a clear idea of what you can expect from lens surgery and the lenses you might choose?
*
Yes
No
Great. Who should we send the results to?
*
And the best number to contact you?
*
Thanks. What's your email?
*
I agree to terms & conditions provided by the company. By providing my phone number, I agree to receive text messages from the business.