Cataract Self Test

Curious about cataract surgery? Read our 20-point checklist!

Name(Required)

First Last

Phone(Required)

Email(Required)

1. How interested are you in seeing at a distance, driving or playing golf without glasses after your cataract surgery?(Required)

2. My distance vision is(Required)

3. Are you interested in seeing well up close (reading) without glasses after your cataract surgery?(Required)

4. My close vision is(Required)

5. If you had to wear glasses after your vision treatment for one of the following activities, which one would you most be willing to wear glasses for?(Required)

6. I have halos and glare at night?(Required)

7. If you could have good vision for driving during the day without glasses, and good near vision without glasses in most situations, would you be able to tolerate some halos and glare around lights at night?(Required)

8. If you could have good distance vision day and night, and good vision for computer work, without glasses, would you be willing to wear glasses for reading fine print and small type?(Required)

9. In our daily lives there are different things we do that require us to SEE at different distances. We have grouped some of these vision activities into 5 lifestyle zones. Think about the things in life you want to do the most without depending on glasses after cataract surgery. Which group is the most important(Required)

10. Consider your personality. Based on the options scale below how would you rank your personality?(Required)

About Us

Cataract Surgery

Other Eyecare Services

Patient Info

Other

Location

401.521.3606

for ADA

for ADA

for ADA

for ADA

for ADA

Location

401.521.3606

Cataract Self Test

Cataract Self Test

Curious about cataract surgery? Read our 20-point checklist!

Request Your Appointment Today!

OPTX - Rhode Island

Quick Links

Office Hours

Location

1277 Hartford Avenue Johnston,
Rhode Island 02919

About Us

Cataract Surgery

Other Eyecare Services

Patient Info

Other

Location

401.521.3606

for ADA

for ADA

for ADA

for ADA

for ADA

Location

401.521.3606

Cataract Self Test

Curious about cataract surgery? Read our 20-point checklist!

Request Your Appointment Today!

OPTX - Rhode Island

Quick Links

Office Hours

Location

1277 Hartford Avenue Johnston, Rhode Island 02919

1277 Hartford Avenue Johnston,
Rhode Island 02919