Welcome to our LASIK self test

To Start

Please tell us how old you are

Under 18
19-39
40-59
60+
Take Our Self Test Online

Question 2:

Do You wear...

Glasses
Contacts
Glasses & Contacts
Neither
Blue Banner

Question 3:

Without your corrective lenses, do you have...

Trouble seeing far away
Trouble seeing up close
Overall blurry vision
Trouble with reading only
Blue Banner

Question 4:

Have you ever been told you have astigmatism?

Yes
No
Email

Question 5:

What phone can we use to call/text you?

Next
First Name

Question 6:

What is your first name?

Next
Last Name

Question 7:

What is your last name?

Next

Question 8 (the final one!):

What is your email?

Question 1 of 8

Unfortunately you are not a candidate for LASIK due to your age (18 or under). If you entered this age by mistake, refresh the page and select your age again.

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