LASIK & Vision Correction Candidacy Quiz

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

BEGIN TEST >

What's Your Age?

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
Trouble seeing far away

Farsighted
Trouble seeing up close

Presbyopia
Trouble with reading only

Astigmatism
Overall blurry vision

Have you ever been diagnosed with cataracts?

If you suddenly woke up tomorrow with crisp, clear vision, what's the very first activity you'd want to go enjoy?

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

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If you suddenly woke up tomorrow with crisp, clear vision, what's the very first activity you'd want to go enjoy?(Required)

If you are a good candidate, how soon would you like to have surgery?(Required)

Form Data

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I Agree To the Terms of Use*

* I am requesting you to contact me as an exemption to Texas Senate Bill 140 (SB 140). I understand Parkhurst NuVision may attempt to contact me to discuss my self-test results via SMS, email and/or phone call. I understand I can opt-out of communication at any time.

Email

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