Do you wear glasses/contacts? *

    Yes, just for reading.
    Yes.
    No.

If yes, are you happy with them? *

    Yes
    No

How old are you? *

    Under 21.
    Between 21 and 50.
    Over 50.

Are you pregnant or planning to get pregnant
in the next 2-3 months? *

    Yes
    No.

Would you like a free 15 min LASIK consults? *

    Yes
    No.

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