West Georgia Eye Care LASIK Self Evaluation

Do you have any of the following?
Do you currently wear reading glasses? *
Have you ever had eye surgery or an eye injury? *
How would you evaluate your night vision? *
At this time, what is the most important issue to you regarding LASIK? *
Have you ever been diagnosed with any of the following: Keratoconus, Diabetic Retinopathy, Lupus or Rheumatoid Arthritis? *
Are you in general good health? *
What is your age group? *