
WELCOME TO OUR CATARACT SELF TEST
TO START
DO YOU CURRENTLY WEAR ANYTHING TO CORRECT YOUR VISION?


QUESTION 2:
HAVE YOU HAD ANY PREVIOUS EYE OPERATIONS (REFRACTIVE SURGERY/LASIK OR LASERS)?

QUESTION 3:
HAVE YOU BEEN TOLD YOU HAVE CATARACTS AND REQUIRE SURGERY?

QUESTION 4:
HOW INTERESTED ARE YOU IN SEEING AT A DISTANCE (DRIVING OR PLAYING GOLF) WITHOUT GLASSES?

QUESTION 5:
HOW INTERESTED ARE YOU IN SEEING WELL UP CLOSE (READING) WITHOUT GLASSES AFTER YOUR CATARACT SURGERY?


QUESTION 6:
WHAT EMAIL SHOULD WE SEND THE RESULTS TO?


QUESTION 7:
WOULD YOU BE OPEN TO A CATARACT CONSULTATION (IF IT TURNS OUT YOU ARE A POSSIBLE CANDIDATE)?

QUESTION 8:
WHAT IS YOUR FIRST NAME?

QUESTION 9:
WHAT IS YOUR LAST NAME?


QUESTION 10 (THE FINAL ONE!):
WHAT PHONE NUMBER CAN WE USE TO CALL/TEXT YOU?