Financing
Eyecare, Eyeware, EyeSurgery
Call: (225) 924-2020 | (800) 375-6828 | Patient Portal Access

IOL Self Evaluation

* Required






It's very important to me NOT to wear glasses for distance vision.
It's not important to me. I do not mind wearing glasses.

It's very important to me NOT to wear reading glasses.
It's not important to me. I do not mind wearing reading glasses to see things up close.

Reading fine print
Using a computer or cooking
Driving a car

Yes
No

Yes
No

Newsprint
books
reading maps or sewing.
Computer screens
menus
price tages or headlines.
Watching TV
cooking
cleaning or indoor activties.
Driving
playing golf
seeing road signs.
Night Driving
watching movies.

Easy Going
In the middle
Perfectionist

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