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)