[vc_row content_placement=”middle”][vc_column width=”1/6″][/vc_column][vc_column width=”4/6″][vc_custom_heading text=”Are You a Candidate for LASIK?” font_container=”tag:h1|font_size:40px|text_align:center|line_height:50px” use_theme_fonts=”yes” el_class=”heading-smgblue”][vc_custom_heading text=”Not all people can have LASIK. To find out if you are a good candidate for LASIK, answer these simple questions. Before performing LASIK surgery, you will also need to undergo a screening test at our clinic.” font_container=”tag:h2|font_size:30px|text_align:center|line_height:30px” use_theme_fonts=”yes” el_class=”heading-smgblue”][vc_separator][vc_custom_heading text=”If you are still unsure, take a web-based eye test to find out if you are eligible for the LASIK / ReLEx SMILE action” font_container=”tag:h1|font_size:30px|text_align:center|line_height:30px” use_theme_fonts=”yes” el_class=”heading-csecgreen”][vc_custom_heading text=”Answer the questions below to get started!” font_container=”tag:h1|font_size:35px|text_align:center|line_height:45px” use_theme_fonts=”yes” el_class=”jawab-text” css=”.vc_custom_1557304737939{margin-bottom: 50px !important;}”]

    How old are you?
    Under 1818 - 3940 - 49
    What do you use most to help your eyesight?
    GlassesContact LensesNone
    How often do you wear your glasses?
    AlwaysSometimes
    Do the glasses get in the way of your daily activities, like sports, reading, working?
    YesNo
    Have you ever felt dry eyes because of your contact lenses?
    YesNo
    Without glasses or contact lenses, are you having trouble seeing far or near?
    Trouble Seeing FarTrouble Seeing NearTrouble Seeing Both Far & NearNone

    Fill in the data below to find out the results

    Name
    Email
    HP Number
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