LASIK & Vision Correction Candidacy Quiz

Are you a candidate for a laser or lens based vision correction procedure?
Let’s find out. Take this 60 second self test to see which procedure might be the best option for your vision and lifestyle.

BEGIN QUIZ >

What’s Your Age?

18 - 24

25 - 40

41 - 59

60+

Which type of corrective eyewear do you use?

(Click all that apply)

Glasses

Contact Lenses

Readers/Bifocals

None of these

Which best describes your vision today?

(Click all that apply)

Nearsighted
Trouble seeing far away

Farsighted
Trouble seeing up close

Presbyopia
Trouble with reading only

Astigmatism
Overall blurry vision

Are you pregnant or nursing?

Have you ever been diagnosed with cataracts?

Just One More Step!

First Name(Required)

Last Name(Required)

Email(Required)

Phone(Required)

Would you be interested in scheduling a no-obligation, LASIK consultation?*

Yes

Not Right Now

If you are a good candidate, how soon would you like to have surgery?(Required)

Form Data

*By submitting this form you consent to receive phone calls, text messages and emails from Summit Eye Care. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the Privacy Policy and Terms of Use. Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

I Agree To the Terms of Use*

Comments

This field is for validation purposes and should be left unchanged.

The Doctors at Summit Eye Care of Wisconsin have either authored or reviewed and approved this content.

LASIK Quiz

LASIK & Vision Correction Candidacy Quiz