LASIK Questionnaire | Sutton Linder Sutton

What is your age range?*

I most often wear:*

Without my glasses & contacts (check all that apply)*

How do you use your eyes on a daily basis outside of work? (check all that apply)*

Describe how do you use your eyes on a daily basis outside of work:

When choosing your vision correction surgeon, what matters most to you?*

How soon would you consider laser vision correction?*

Do you have any of the following? (check all that apply)*

Name*

First Last

Email*

Phone*

Date of birth*

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