Skip to content
Call To Schedule
|
713.365.9099
Home
Services
Lasik
Houston LASIK Vision Correction
LASIK FAQ’s
Houston LASIK Cost & Financing
ASA
PTK
Visian ICL
Refractive Lens Exchange
Cataract
Houston Cataract Surgery
Custom Lens Implants
Multifocal Lenses
PanOptix® Trifocal IOL
Symfony® Multifocal IOL
TECNIS® Multifocal IOL
Toric Lenses
Conventional Lenses
ORA Technology
Refractive Lens Exchange
Cost & Financing
Cosmetics
Cosmetic Procedures
Secret RF
Ultherapy
Trusculpt ID®
CoolSculpting
Botox Cosmetic
Injectable Fillers
Xeo®
NeoCutis® SkinCare
Cosmetic Testimonials
Other Services
Refractive Lens Exchange
Neuro-Ophthalmology
Corneal Crosslinking
Glaucoma Care
Dry Eye Treatment
Our Doctors
Locations
Memorial
Katy East
Katy West
Spring
About Us
Patient Forms
Medical Records Release Form
5-Star Reviews
Patient Testimonials
Career Opportunities
Blog
Contact Us
Home
Services
Lasik
Houston LASIK Vision Correction
LASIK FAQ’s
Houston LASIK Cost & Financing
ASA
PTK
Visian ICL
Refractive Lens Exchange
Cataract
Houston Cataract Surgery
Custom Lens Implants
Multifocal Lenses
PanOptix® Trifocal IOL
Symfony® Multifocal IOL
TECNIS® Multifocal IOL
Toric Lenses
Conventional Lenses
ORA Technology
Refractive Lens Exchange
Cost & Financing
Cosmetics
Cosmetic Procedures
Secret RF
Ultherapy
Trusculpt ID®
CoolSculpting
Botox Cosmetic
Injectable Fillers
Xeo®
NeoCutis® SkinCare
Cosmetic Testimonials
Other Services
Refractive Lens Exchange
Neuro-Ophthalmology
Corneal Crosslinking
Glaucoma Care
Dry Eye Treatment
Our Doctors
Locations
Memorial
Katy East
Katy West
Spring
About Us
Patient Forms
Medical Records Release Form
5-Star Reviews
Patient Testimonials
Career Opportunities
Blog
Contact Us
Laser Vision Correction Self Test
Laser Vision Correction Self Test
wstanley
2020-03-11T14:25:22+00:00
LASIK Self Test
How old are you?
*
18 & under
18-39
40-59
60+
At what distance do you have the most trouble seeing?
*
Up Close (reading, computer work)
Far Away (street signs, bill boards)
Both Up Close & Far Away
Which do you wear most frequently to correct your vision?
Prescription Glasses
Contact Lenses
Reading Glasses
Which of the following is most important to you when it comes to your procedure?
*
Achieving 20/20 vision
Affordable price
Convenient Location
Best technology
Experienced surgeon
How soon are you interested in having laser vision correction?
As soon as possible
Within 1-2 months
Unsure
Name
*
First
Last
Phone:
*
Email: