LASIK Candidate Quiz | NVISION Eye Centers

What is your age group?

Below 18

18-34

35-54

55+

What are you currently wearing to correct your vision? (Check all that apply)

Glasses

Contacts

Reading Glasses

None of the above

Without corrective lenses, do you have…

Trouble seeing far away (Nearsighted)

Trouble seeing up close (Farsighted)

Overall blurry vision both distance and near

Trouble with reading only

Are you currently being treated or have you ever been treated for severe dry eyes?

Yes

No

Not Sure

Have you ever been told you have astigmatism?

Yes

No

Not Sure

Have you been diagnosed with any of the following conditions: Keratoconus, Glaucoma, Cataracts, Diabetic Retinopathy, Lupus, Rheumatoid arthritis.

Yes

No

Not Sure

Have you ever had a LASIK consultation before and if so, when?

No, I have never had a LASIK consultation before.

Yes, within the last year.

Yes, within the last 3 years.

Yes, within the last 5 years

Yes, but many years ago.

Congratulations!

You may be a good candidate for LASIK. Please complete the form below to be contacted about scheduling your free, no pressure LASIK consultation.

By submitting this form, I give NVISION consent to contact me at any phone numbers I provide to NVISION, including mobile numbers, via an automatic telephone dialing system in regard to my request for information on NVISION services and treatment information. I understand that my consent is not a requirement of purchase from NVISION.

Are You a Candidate for LASIK?

Answer a few simple questions to find out if a LASIK procedure is the right solution for you and qualify for a free consultation.