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Patient Survey

If you are a LASIK patient who has suffered from a poor outcome, we would like to know more about your situation. The following questions are optional but if you choose to answer them they will help us to better represent the experiences of LASIK patients. All answers will be held in strict confidentiality and released only in the aggregate.




Due to LASIK complications:



Please indicate which, if any, of the following LASIK complications apply to you: