Falls Church, VA
703-912-0504

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LASIK Self-Test

Home | Procedures | Laser Vision Correction | LASIK Self-Test

Self Assessment Test

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14%

What is your age?(Required)

17 or younger

18-40

41-64

65 or older

What do you have trouble seeing without glasses or contact lenses?(Required)

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I can’t see near

I can’t see anything

What do you wear the most?(Required)

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Contact lenses

Glasses and contact lenses

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Are you generally healthy?(Required)

Yes

No

If no, what health problems do you have?

Have you ever had an eye surgery or injury in the past?(Required)

Yes

No

If yes, what surgery or injury?

Why do you want to no longer need glasses or contact lenses?

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Location

431 Park Avenue Suite 103
Falls Church, VA 22046

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Phone: 703-912-0504
Fax: 703-992-8158

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Our Team
▼
LASIK
▼
- LASIK Self-Test
- PRK
EVO ICL
Cataract Surgery
▼
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