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Self Evaluation Test

Cutarelli Vision offers a full range of vision correction options in Denver and Fort Collins. We choose the optimum vision correction procedure or solution to suit individual needs beyond LASIK. To help you learn if you might be a good candidate for LASIK or another procedure, please complete the form below and our vision correction coordinator will contact you to discuss the next step.

For best results, please fill out this test completely.
Those marked with * are required for a response.

This short questionnaire is NOT a substitute for a proper medical examination and is simply a guide to help you work out if LASIK should be on your ‘to do’ list. The only way to know if LASIK is right for your eyes is to have a thorough LASIK Evaluation.