1
What is your age group?
2
Without my glasses and contacts... (check all that apply)
3
What do you usually wear? (check all that apply)
4
Do you have any of the following? (check all that apply)
5
Have you been told you have cataracts and require surgery?
6
I would like to see well at a distance without relying on glasses and contact lenses.
7
I would like to see well up close without relying on glasses and contact lenses.
8
It is important to me to see well at night after cataract surgery.
9
Think about the things in life you want to do without depending on glasses after cataract surgery. Which group is the most important? (check all that apply)
10
Would your like to speak with our team?