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Self-Exam

Take the cataract self-exam and one of our surgical coordinators will contact you with your results.

1. Do you have trouble seeing far away or up close?
a. Far awayb. Up close

2. Do you wear contact lenses or glasses?
a. Yesb. No

3. Are you interested in seeing well up close (reading) without glasses?
a. It is important for me to NOT wear reading glassesb. do not mind wearing reading glasses.

4. What is your age range?
a. Under 21b. 21-39c. 40-59d. 60+

5. Describe your vision.
a. Blurry or cloudyb. Not as colorful and vibrant as it used to beHalos around lights and/or over-sensitivity to lightPoor at nightDouble or multiple images in one eyeNone of the above

6. Yes, I would like to schedule a consultation. The best time to call me is:
8am-12pm12pm-4pm4pm-7pmPlease use email