972-548-2015
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Procedures
Cataracts
Cataract Surgery
Cataracts & Glaucoma
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Cataracts FAQ
Conventional Implants
Interactive Cataracts Self Test
Multifocal Implants
Understanding The Basics
What to Expect
LASIK
About the LASIK Procedure
Choosing a LASIK Surgeon
Custom LASIK Surgery
Interactive LASIK Self Test
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LASIK Surgery Costs
PRK
Refractive Surgery
Schedule Your Free LASIK Exam
Eye Care
Diabetes
Dry Eye
Eye Exams
Macular Degeneration
Presbyopia
Eyelid Surgery
Providers
Si-On Kim, OD
Jason D. Bullajian, MD, FACS
Jeffrey A. Wildridge, OD
Valerie A. Barnett, OD
Locations
Frisco Location
McKinney Location
About Us
Contact Us
Blog
Surgery Center
Referral
Procedures
Cataracts
Cataract Surgery
Cataracts & Glaucoma
Cataract Cost & Financing
Cataracts FAQ
Conventional Implants
Interactive Cataracts Self Test
Multifocal Implants
Understanding The Basics
What to Expect
LASIK
About the LASIK Procedure
Choosing a LASIK Surgeon
Custom LASIK Surgery
Interactive LASIK Self Test
LASIK Candidacy
LASIK Cost & Financing
LASIK Surgery Costs
PRK
Refractive Surgery
Schedule Your Free LASIK Exam
Eye Care
Diabetes
Dry Eye
Eye Exams
Macular Degeneration
Presbyopia
Eyelid Surgery
Providers
Si-On Kim, OD
Jason D. Bullajian, MD, FACS
Jeffrey A. Wildridge, OD
Valerie A. Barnett, OD
Locations
Frisco Location
McKinney Location
About Us
Contact Us
Blog
Surgery Center
Referral
Why TVLC
Affordability
Schedule Appointment
Procedures
Provider
Provider 1
Provider 2
Locations
Why TVLC
Affordability
Schedule Appointment
INTERACTIVE CATARACTS SELF TEST
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9
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Take this brief self-test to get started on your cataract correction journey.
Name
*
Phone
*
Email
What is your age?
*
Under 18
19-39
40-59
60+
Have you previously been diagnosed with cataracts in one or both eyes?
Yes
No
Do you wear glasses or contacts as a normal part of your day-to-day life?
No
Glasses all the time
Contacts all the time
Reading glasses for small print
Do you have difficulty driving at night?
Yes
No
I don’t drive at night because of my vision
While driving during the day, do you have difficulty reading street signs clearly?
Yes
No
I am no longer able to see well enough to safely drive
Have you noticed that colors no longer seem as vivid or bright as they once did?
Yes
No
Do you have difficulty reading a menu at a dimly lit restaurant?
Yes
No
If there was an available option, would you like the ability to read small print without the aid of reading glasses?
Yes
No
Please list a few of your favorite hobbies:
FRISCO OFFICE
8380 Warren Parkway, #101
Frisco, Texas 75034
MCKINNEY OFFICE
2600 W. University Dr. #100
McKinney, TX 75071
SURGERY CENTER
2600 W. University Dr. #200
McKinney, TX 75071
Phone:
972-548-2015
Fax:
972-548-2014
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