LASIK Hotline
469-972-0505
Book An Appointment
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
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 LASIK SELF TEST
1
2
3
4
5
6
7
8
9
10
11
Take this very brief self-test to begin your journey with LASIK vision correction surgery! It only takes a few minutes and will provide our care team with a jump start on your treatment plan.
Name
*
Phone
*
Email
Best Time to Contact
Select
Morning
Afternoon
Evening
Preferred Contact Method
Select
Call
Text
Email
What is your age?
*
Under 21
21-35
35-45
Over 45
Do you have trouble seeing up close or far away?
Up close
Far Away
Do you wear glasses or contacts?
Glasses
Contacts
Both
Neither
Have you ever been told you have astigmatism?
Yes
No
Not sure
Are you pregnant OR currently breast feeding?
Yes
No
Would you like to be able to read without wearing reading glasses?
Yes
No
Does not apply
Would you enjoy sports, swimming, work, or other activities more without glasses or contacts getting in the way?
Yes
No
Has your glasses or contacts prescription changed in the last year?
Yes
No
Not sure
While LASIK is extremely safe, all surgical procedures have some associated risks. Would you be willing to discuss those risks with your surgical counselor?
Yes
No
Additional Questions? Type them here and we can address those at your consultation
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
Contact Us
Make a referral
© 2022 Texas Vision & Laser Center
Privacy Policy
|
Sitemap
phone
twitter
facebook
linkedin
youtube-play
