What is your age group?*

Without my glasses and contacts*

What do you usually wear?*

Do you have any of the following?

How interested are you in being able to enjoy outdoor activities and/or sports without glasses and contacts?*

Are you interested in seeing well up close (reading) without glasses?*

Would you be willing to discuss this procedure and your candidacy with our coordinator?*

How did you hear about SLO LASIK?