Lasik Quiz By: [email protected]|Published on: Jul 7, 2020|Categories: | 0 comments 1. What type of corrective lenses do you mostly use? Glasses Contacts Reading Glasses / Cheaters Bifocals None None 2. Do you have any history of.. (check all that applies) Autoimmune Disease Rheumatoid Arthritis Eczema Prior Eye Surgery None Of Above 3. Do you have any history of .. (check all that applies) Keratoconus Cataract Corneal Dystrophy Dry Eyes None Of Above 4. What is your age range? 18-29 30-39 40-55 55+ None 5. What is your motivation for wanting laser vision correction? Convenience Improve Lifestyle Appearance Better Vision in General Freedom None 6. When choosing a Surgeon, what matters most to you? Affordability Convenience Safety Surgeon Experience Other None 7. If you are a candidate how soon would you like to improve your vision? ASAP Next Few Weeks Next Few Months None 8. How would you describe your lifestyle? Active Somewhat Active Not Active None 9. Where did you hear about us? NH Climbing + Fitness The Zoo Facebook Instagram Other (please indicate below) None Thank you for taking our quiz. We are calculating your results. In the meantime, please feel free to provide your contact information if you'd like us to provide more information on LASIK. Or, just hit "Submit". Name Email Phone Time's up Submit a Comment Cancel replyYour email address will not be published. Required fields are marked *Comment * Name * Email * Website Save my name, email, and website in this browser for the next time I comment. Δ
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