Please answer the following questions:

 

I have been told that I am NOT a candidate for LASIK

True

False

 

I have been told that I have cataract

True

False

 

My current glasses or contact lens prescription is more than -3.00

True

False

I don't know

 

My prescription has been stable for the last 12 months or more

True

False

I don't know

 

I am between the ages of 21 and 45 years old

True

False

 

I enjoy activities that require me to be without glasses or contact lenses

True

False