SURAVISION
Cataracts Self-Test
What is your Age range?
18-29
30-44
45-59
60+
Do you wear...
Glasses
Contacts
Glasses & Contacts
Readers
Bifocals / Progressives
I don't wear anything(but I should!)
Without your corrective lenses, do you have...
Trouble seeing far away
Trouble seeing up close
Overall blurry vision
Trouble reading only
Have you ever been told you have astigmatism?
Yes!
No.
Where should we contact you with your results?
What's a good phone number for you?
(So we can contact you if you qualify for a LASIK evaluation. Our team may reach out to you via call, email and/or SMS. Opt-out at any time.)
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Is it time for a Vision Test Evaluation?
Take this short quiz to find out more...
This should not be considered medical advice or diagnosis. A full appointment is necessary to determine candidacy.
What do you normally wear to see near objects?
(Required)
Glasses
Contacts
Readers
Bifocals/Progressives
I don't use glasses to read, but I should
What is your age range?
(Required)
18-29
30-44
45-59
60+
What is most difficult or frustrating to read without readers/bifocals?
(Required)
Books/Magazines
Text messages
Computer/Tablet
Street signs
Others
How long have you been living with pooor reading vision?
(Required)
About a year
2-3 years
5 years or more
Other
Would you like to share any other details about your reading vision?
Name
(Required)
First
Last
Where should we contact you with your results?
(Required)
What's a good phone number for you?
(Required)
(So we can contact you if you qualify for a LASIK evaluation. Our team may reach out to you via call, email and/or SMS. Opt-out at any time.)
Consent
I agree to receive communications by text message about my inquiry. You may opt out by replying STOP or ask for more information by replying HELP. Message frequency varies. Message and data rates may apply. You may review our
Privacy Policy
to learn how your data is used.
SURAVISION
Reading Vision Quiz