You must have JavaScript enabled to use this form. Take my quick quiz to find out INSTANTLY if you are a candidate for laser vision correction surgery! Are you unsure about your eligibility for laser vision correction? Take this quick quiz to find the best treatment and to set up a price quote for you right now! Name Email Address Age Group - Select -Under 2021-4040-6969+ Do you wear contact lenses or eye glasses? Yes No If you answered yes, please tell us your current glasses or contact lens prescription for your distance vision? - None -Myopia / Short-sighted (0 to -12)Hyperopia / Long-sighted (0 to +6)Hyperopia / Long-sighted (+6.25 to +10)Unsure Do you have a “lazy eye” or one eye that is weaker than the other? Yes No Do you have trouble seeing far away or up close? How interested are you in being able to play sports or your favorite activities without glasses and contacts? Do you have astigmatism? Yes No I don't know Please share your goals for improving your vision and eye health. Did you know?: Over 98% of LASIK patients see 20/40 or better after surgery, as a . results of Laser or LASIK vision correction have been tremendous for literally millions of people. Submit Leave this field blank
