LASIK Questionnaire Are You a Candidate for Laser Vision Correction? Take this short survey to find out!Are you twenty one years or older?* Yes No Do you wear glasses and/or contact lenses?* Yes No Are you nearsighted, farsighted, and/or have astigmatism?* Yes No Do you want to reduce your dependency on glasses and/or contacts?* Yes No Do you feel your appearance would improve if you did not have to wear glasses?* Yes No Would you be interested in confirming you are a candidate for laser vision correction if you could have a free, no obligation consultation?* Yes No If you answered "yes" to any one or more of these questions, you are probably a candidate for laser vision correction. Take advantage of this special offer for patients of the doctors at Vision Health Specialties and schedule a free, no obligation consultation. It's easy, and it's free.Name* First Last Phone*Email* Δ
