Vision Correction Self-Test | Alliance Vision Institute

LASIK & Vision Correction Candidacy Quiz

Take this 60 second quiz to see which procedure fits your eyes best.

BEGIN TEST >

What’s Your Age?

LASIK is FDA-Approved for people 18 years of age or older.

18 - 24

25 - 40

41 - 59

60+

Which type of corrective eyewear do you use?

(Click all that apply)

Glasses

Contact Lenses

Readers/Bifocals

None of these

Which best describes your vision today?

(Click all that apply)

Nearsighted
Difficulty Seeing At A Distance

Farsighted
Difficulty Seeing Up Close

Presbyopia
Difficulty Seeing In Dim Light

Astigmatism
Overall Blurry Vision

Are you pregnant or nursing?

Do you have any of the following?

(Click all that apply)

What is your biggest concern with LASIK?

Just One More Step!

First Name*(Required)

Last Name*(Required)

Email(Required)

Phone(Required)

Would you be interested in scheduling a no-obligation, LASIK consultation?

Yes

Not Right Now

Form Data

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I accept the Terms of Use*

By submitting this form you consent to receive phone calls, text messages and emails from Alliance Vision Institute LASIK & Cataract Eye Surgery. It is not a condition of purchasing any goods or services. You can opt out at any time, message/data rates may apply, and opting-in includes acceptance of the Privacy Policy and Terms of Use. Communications through this website or via email are not encrypted and are not necessarily secure. Use of the internet or email is for your convenience only, and by using them, you assume the risk of unauthorized use.

Phone

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LASIK Self Test