LASIK Self Evaluation TestSouthern New Hampshire LASIK Self Evaluation Test First Name * RequiredLast Name * RequiredPhone * RequiredEmail * Required Do you have trouble seeing far away or up close? Up Close Far Away How interested are you in being able to play sports without glasses and contacts? It's very important to me NOT to wear glasses for activities such as sports. It's not important to me. I do not mind wearing glasses. Are you interested in seeing well up close (reading) without glasses? It's very important to me NOT to wear reading glasses. It's not important to me. I do not mind wearing reading glasses to see things up close. Do you wear contact lenses or glasses? Glasses Contact Lenses What is your age? Under 21 21-40 41-69 69+ Would your career or business activities improve if you were to become less dependent on glasses and contacts? Yes No Maybe Over 98% of LASIK patients see 20/40 or better after surgery. The results of LASIK laser vision correction have been tremendous for literally millions of people. Despite the amazing safety and results of this procedure there are associated risks. Are you willing to discuss these risks with our LASIK coordinator? Yes No MessageI understand that Protected Health Information (PHI) or sensitive information should not be included in this message. Δ We serve Derry, Londonderry, Windham, Raymond, and Bedford Spindel Eye Associates has excellent optometrists and ophthalmologists to treat your eyes with the utmost care.Call Now
