Self Evaluation TEST

Name:
Phone:
E-Mail:

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.
What is your age?
Under 21

21 - 40

40 - 69

69+
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
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

EyeHealth Northwest has convenient locations

Map Our Locations

See Our Laser Vision Correction website

Are you a potential LASIK candidate? LASIK eye surgery can correct nearsightedness, farsightedness and astigmatism. 0% financing programs available.

Take Our LASIK Self-Evaluation Test

See Better After Cataract Surgery!

New Intraocular Lens Technology

Cataract patients now have an option to see at both near and far distances after cataract surgery! Individuals suffering from cataracts previously had only a mono-focal lens implant option after surgery. NEW premium lens implant technology can now decrease dependence on glasses after surgery.

See Better After Cataract Surgery!