What is your age? *


 
What is your current vision? *



 
What do you currently wear? *




 
Do you require reading glasses? *

     
 
Would you consider yourself to be generally healthy? *

     
 
Have you ever had an eye injury or eye surgery in the past? *

     
 
What is your biggest frustration with glasses or contacts?

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What excites you most about the idea of life after LASIK?

(Optional)
 
Can we get your first name, please? *

 
Thanks {{answer_JUkA}}, can we get your last name? *

 
What is your best email address? *

 
Can we get your phone number?

(Optional)
Not Likely 

So sorry.  Based off your answers, if you're under 18, we're unable perform LASIK at this time.  Be sure to try us back in a few years!
Try Again
Very Likely (85 - 97%)

Based off your answers, it's likely that you're a candidate for LASIK, {{answer_JUkA}}.

However, the only way to know if LASIK is truly right for your eyes is to have a thorough evaluation done by our team.  

We'd like to offer you a Free Consultation where we can answer any question you have on LASIK.  

Just click the button below to request your Free Consultation:
Request My Consultation
Highly Likely (82 - 95%)

Based off your answers, it's likely that you're a candidate for LASIK, {{answer_JUkA}}.

However, the only way to know if LASIK is truly right for your eyes is to have a thorough evaluation done by our team.  

We'd like to offer you a Free Consultation where we can answer any question you have on LASIK.  

Just click the button below to request your Free Consultation:
Request My Consultation
Very Likely (76 - 86%)

Based off your answers, it's likely that you're a candidate for LASIK, {{answer_JUkA}}.

However, the only way to know if LASIK is truly right for your eyes is to have a thorough evaluation done by our team.  

We'd like to offer you a Free Consultation where we can answer any question you have on LASIK.  

Just click the button below to request your Free Consultation:
Request My Consultation
Fairly Likely (71 - 82%)

Based off your answers, you have a good shot at being a candidate for LASIK, {{answer_JUkA}}.

However, the only way to know if LASIK is truly right for your eyes is to have a thorough evaluation done by our team.  

We'd like to offer you a Free Consultation where we can answer any question you have on LASIK.  

Just click the button below to request your Free Consultation:
Request My Consultation
Likely (66 - 74%)

Based off your answers, you have a shot at being a candidate for LASIK, {{answer_JUkA}}.

However, the only way to know if LASIK is truly right for your eyes is to have a thorough evaluation done by our team.  

We'd like to offer you a Free Consultation where we can answer any question you have on LASIK.  

Just click the button below to request your Free Consultation:
Request My Consultation
Likely (60 - 71%)

Based off your answers, you have a shot at being a candidate for Laser Vision Correction, {{answer_JUkA}}.

However, the only way to know if LASIK is truly right for your eyes is to have a thorough evaluation done by our team.  

We'd like to offer you a Free Consultation where we can answer any question you have on LASIK.  

Just click the button below to request your Free Consultation:
Request My Consultation