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Laser Vision Correction
Cataract Surgery
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1.What is your age?
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Less than 18
18-21
21-42
42-50
50-55
50+
2. Which statement best describes your main vision problem?
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Distance is blurry (e.g. driving, TV, seeing the board), but I see okay up close.
Distance is fairly okay (especially with glasses), but I struggle with reading or close work.
My vision feels cloudy or hazy, with glare or halos around lights, especially at night.
3. How do you currently use glasses or contact lenses?
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I mostly need them for distance (driving, screen, sport) and I’m tired of wearing them.
I can manage distance, but I rely on reading glasses or bifocals for near tasks.
I’ve needed stronger glasses more often lately, but things still look dull or misty.
4. Has an eye specialist or optometrist ever told you that you have cataracts?
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No, I’ve never been told I have cataracts.
I was told I have very early/mild cataracts, but they don’t affect me much yet.
Yes, I’ve been told I have cataracts affecting my vision.
5. Which of these goals feels most like you?
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I want to see clearly in the distance without glasses or contacts for work, driving and sport.
I want to see near and far more comfortably, and rely less on reading glasses.
I want to get rid of the blur, cloudiness and glare that are interfering with everyday life.
6. How important is freedom from glasses or contact lenses for you?
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Very important – I’d love to be as glasses-free as possible for most activities.
I mainly want less dependence on reading glasses, especially for work, screens and reading.
My top priority is clearer, safer vision – I’m less worried if I still need light glasses afterwards.
7. Which best describes your daily activities?
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I’m active (driving, gym, sport, outdoor hobbies) and glasses/contacts get in the way.
I spend lots of time on computers, phones and reading, and I’m tired of switching glasses.
Bright lights and night driving have become difficult, and I feel less confident moving around.
8. Have you had eye surgery before?
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No previous eye surgery.
I’ve had laser vision correction or other surgery, but my eyes are otherwise healthy.
I’ve had other eye surgeries and/or been told I have eye diseases (e.g. glaucoma, retinal issues).
9. Do you have any of the following?
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Generally healthy, no major eye problems apart from needing glasses/contacts.
I’m healthy but starting to notice age-related near vision problems (struggling with small print).
I have medical issues linked to eye health (e.g. diabetes) and/or known eye disease or cataracts.
10. How quickly is your vision changing?
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My glasses prescription has been stable for at least 1–2 years.
My near vision has worsened with age, but distance feels relatively stable.
My vision seems to be getting worse or cloudier over time, even with new glasses.
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