Are You a Candidate for Cataract Surgery?Take the 60 Second Self-Test to Find Out!Step 1 of 911%First Name(Required)Last Name(Required)Phone(Required)Email(Required) Do we have consent to text you?(Required)YESNOWhat is your age range?(Required) Under 50 50-60 Over 60Have you ever been diagnosed with Cataracts?(Required) Yes NoDo you wear glasses or contacts to correct your vision?(Required) No Prescription Glasses Reading Glasses Contact LensesAre you having difficulty driving at night?(Required) Yes NoDo you have difficulty seeing street signs while driving?(Required) Yes NoAre nearby and distant objects not as clear as they used to be?(Required) Yes NoDo colors seem less bright?(Required) Yes NoHave you had an eye exam in the last year?(Required) Yes NoEmailThis field is for validation purposes and should be left unchanged.
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