WELCOME TO OUR LASIK SELF TEST
First things first
How old are you?
DO YOU WEAR...
WITHOUT WEARING EYEGLASSES/ LENSES, DO YOU HAVE...
Have you been diagnosed with Astigmatism?
WHAT EMAIL SHOULD WE SEND THE RESULTS TO?
WHAT IS YOUR FIRST NAME?
WHAT IS YOUR LAST NAME?
QUESTION 8 (Last question!):
On which phone number would you like us to contact you?