Are You a Candidate for LASIK? 1. Are you nearsighted or farsighted? NearsightedFarsighted 2. Do you have any ocular or health issues? YesNo 3. Do you currently wear glasses or contact lenses that you're tired of wearing, whether due to occupational or lifestyle reasons? YesNo 4. Are you at least 18 years of age or older? YesNo 5. Are you pregnant or breast feeding? YesNo 6. When would you be interested in getting LASIK? As soon as possibleIn the foreseeable futureNot sure 7. Will you need help with financing the LASIK procedure? YesNo First Name* Last Name* Email* Phone Please leave this field empty.