WELCOME TO OUR LASIK SELF TEST


TO START

PLEASE TELL US HOW OLD YOU ARE

QUESTION 2:

DO YOU WEAR...

QUESTION 3:

WITHOUT YOUR CORRECTIVE LENSES, DO YOU HAVE...

QUESTION 4:

HAVE YOU EVER BEEN TOLD YOU HAVE ASTIGMATISM?

QUESTION 5:

WHAT EMAIL SHOULD WE SEND THE RESULTS TO?

QUESTION 6:

WHAT IS YOUR FIRST NAME?

QUESTION 7:

WHAT IS YOUR LAST NAME?

QUESTION 8 (THE FINAL ONE!):

WHAT IS YOUR ZIP CODE AND A PHONE NUMBER THAT WE CAN CALL/TEXT YOU AT?