Offices in the Tri State Area - Frederick, Hagerstown, and Cumberland Maryland. Call (301) 745-5150
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Self Evaluation Test

The answers to your questions will be sent directly to our staff counselors who will contact you shortly to clarify any points that need more discussion and let you know if it appears as though LASIK will work for you. The only way to be certain whether LASIK can work for you is to complete the LASIK Evaluation which New Vision Laser Center will offer to you at no charge or obligation. Be sure to include a phone number and email address where we can contact you. Thank you for your interest in New Vision Laser Center and for submitting your answers to this Self Evaluation Test.

  1. What is age group best categorizes you?

  2. Are You Restricted With Corrective Lens On Your Drivers License?

  3. Do You Wear Glasses Or Contact Lens Most of the Time?

  4. Are You In Good General Health?

  5. Have You Ever Had An Eye Injury Or Eye Surgery?

  6. Do You Have Trouble Seeing:

  7. Which is The Most Important Issue For You Regarding LASIK?

  8. How Would You Rate Your Quality Of Night Vision?

  9. Do You Currently Require Reading Glasses?

  10. If You Are Determined To Be A Good Candidate, How Soon Would You Like To Have Your Procedure?

 
 
 
 

 



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FREDERICK
176 Thomas Johnson Drive,
Suite 100,
Frederick, MD
(301) 662-3937

HAGERSTOWN
1640 Dual Highway, Suite B,
Hagerstown, MD 21740
(301) 745-5150

CUMBERLAND
2 Frederick Street,
Cumberland, MD 21502
(301) 722-4000
 
 
 

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