Self Evaluation

/Self Evaluation
Self Evaluation 2017-11-28T02:19:20+00:00

We’ve got Great News!

Based on your responses, you appear to be a good candidate for vision correction!

Please complete the following brief questions to accept our gift of $500 OFF any procedure at Aurora LASIK

Simply complete the rest of the evaluation below to find out which procedure is right for you and someone will contact you shortly.

What types of eyewear do you use now? Prescription EyeglassesContactsReadersNone

Which statement best describes your need for glasses or contact lenses? To see objects and text up closeTo see objects far awayTo see clearly at all distances

Is your current prescription stronger than -7? YesNoUnsure

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Your Date of Birth (required)

How may we help you? (Check all that apply)
I'd like to schedule a free consultationI have some questions. Please CALL me

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