Welcome to your LASIK Candidacy Assessment! We're excited to help you achieve your vision correction and lifestyle goals. After you submit your quiz, one of our expert LASIK and laser vision correction counselors will reach out to you to discuss your results. Name Email Phone Are you over the age of 18? 18 - 25 26 - 35 36 - 45 46 - 55 55 - 99 Do You Wear Contacts Or Glasses? Glasses Contacts Both Neither Has Your Glasses or Contact Prescription Remained Stable In The Past Year? Yes No Not Applicable Do You Have An Astigmatism? Yes No Not Sure Have You Ever Had Eye Surgery Before? Yes No Are You Currently Pregnant? Yes No Not Applicable How Did You Hear About Us? Social Media - Facebook, Instagram, YouTube Google Internet Search Friends or Family Another Doctor Time is Up! Time's up Share
