Take our LASIK Quiz

Have you ever wondered, “Am I a candidate for LASIK?” Take the LASIK quiz!

Have you asked yourself, “Is LASIK right for me?” The only way to know if you are actually a candidate for LASIK is to have a thorough professional LASIK evaluation. Use this self-evaluation to get a clearer idea of whether LASIK is right for you. Fill in your contact information, answer every question, and hit “Submit,” and one of our LASIK counselors will contact you within one business day and will be happy to schedule your FREE LASIK consultation.

Full Name

Phone

Email

Do you wear glasses or contact lenses?

Glasses Contacts Both

Can you tell us your most recent glasses or contact lens prescription?

Yes No

Right Eye Prescription

Left Eye Prescription

Are you in good general health?

Yes No

What is your age?

Have you ever had eye surgery?

Yes No

Have you ever had any eye injuries or diseases?

Yes No

Which of the following conditions do you have (select all that apply)?

Myopia (Nearsightedness) Hyperopia (Farsightedness) Astigmatism

How well do you see at night?

Very Well Okay Poorly

Do you use reading glasses or bifocals?

Yes No

Which is the most important issue for you regarding LASIK?

Affordability Safety Experience of doctor Being free of my glasses or contacts

Do you know what is involved in a LASIK procedure?

Yes Possibly No

Are you concerned that the risks outweigh the benefits of LASIK?

Yes Probably No

Have you ever had a LASIK evaluation before?

Yes No

How do you prefer to be contacted?

Phone Only Email Only No Preference

Enter the code

After completing the quiz, if you do not hear from someone in our office within two business days, please contact our office at 208.336.8700 to speak with our staff about your quiz result.