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LASIK Self Test

We look forward to determining your candidacy for laser vision correction. By completing this questionnaire we will better understand if you are a candidate for LASIK or one of our other custom vision correction procedures. This questionnaire is not a substitute for a proper medical examination and is simply a guide to help Kremer Eye Center answer your questions and discuss your specific needs. Thank you for your interest in Kremer Eye Center.

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The #1 thing I am looking for in a LASIK Center
(Please rate these in order of most important (1) to least important (5) )

I authorize a Kremer Eye Center representative to contact me to discuss the results of my LASIK Self-Test. I acknowledge that the information provided in this questionnaire will be used to send additional information about offers related to our services.

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