Are You a LASIK Candidate?




At Advanced Valley Eye Associates, a personalized, no-cost, no obligation evaluation is your first step in determining if you are a good LASIK candidate.

LASIK Self-Evaluation Test

Please take a moment to complete the form below so that we may better understand your vision and lifestyle aspirations. After completing the form, our vision correction coordinator will contact you to discuss the first step toward a possible lifestyle without glasses or contacts!

1.


Contact lenses

Glasses

Reading glasses only

2.


Mild

Medium

Strong

3.


4.


Yes

No

5.


Up close

Far away

Both

6.


It’s important to me to NOT wear glasses for sports or other activities

It’s somewhat important to me. Glasses interfere with some activities.

It’s not important to me. I do not mind wearing glasses.

7.


Yes

No

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