LASIK Self Evaluation Test

LASIK Candidacy Test

What is your age group?

Without my glasses and contacts. Check all that apply

What do you usually wear? Check all that apply

Do you have any of the following?

How interested are you in being able to enjoy outdoor activities and/or sports without glasses and contacts?

Are you interested in seeing well up close (reading) without glasses?

Would your career or business activities improve if you were to become less dependent on glasses and contacts?

Would you be willing to discuss this procedure and your candidacy with our coordinator?

How did you hear about LASIK at Shepard Eye Center