h
h
Do your glasses or contacts prevent you from enjoying every day living?
Yes
No
Do you feel very dependent upon your glasses or contacts?
Yes
No
Are you scared of the thought misplacing your glasses or contacts?
Yes
No
Does putting on and taking care of contact lenses seem like a hassle?
Yes
No
Are you happy with your appearance with glasses?
Yes
No
Do your glasses or contacts interfere with your recreational activities?
Yes
No
Do you consider yourself intolerant to contact lens wear?
Yes
No
Would you only have LASIK if you could be assured of never needing glasses or contacts again?
Yes
No
Do your hobbies or occupation require "perfect vision"?
Yes
No
If you are a contact lens wearer, can you wear them comfortably each and every day for as long as you would like?
Yes
No
If you are a contact lens wearer, do your lenses get dry and/or gritty during the day?
Yes
No
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