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.

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