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Norbert Czajkowski, MD
– In Memoriam –
M. Basha, DO, MSMEd, FACS
Scott Barton, DO
Lucas Bonafede, MD
Charles Colombo, MD
Yi Ling Dai, MD
Rachel Dandar, MD
Ryan M. Jaber, MD
Roman Krivochenitser, MD
Daniel Lin, MD
David Manzo, MD
Matthew Pieters, MD
James Valice, MD
Patrick Verb, MD
Mortada Altwaij, OD
Jason Tuchowski, OD
Arlie Vanderhoof, OD
Kate Vanderhoof, OD
Bret Williams, OD
Referring Optometrists
Refer a Patient
Vision Correction
LASIK
Am I a Candidate?
LASIK Self Evaluation Quiz
Cost of LASIK
LASIK Financing
$1,000 off LASIK
LASIK Recovery
LASIK FAQ
Contacts vs LASIK
Book Consultation Online
LASIK Alternatives
Photo-Refractive Keratectomy (PRK)
EVO Visian ICL™ Lens
Refractive Lens Exchange
Reading Vision Solutions
Presbyopia
VUITY Presbyopia Correcting Eye Drops
Refractive Lens Exchange
Cataracts
Cataracts
Cataract Overview
Cataract Surgery
Lens Implant Options (IOLs)
DropLess Cataract Surgery
Cataract Surgery FAQs
Advanced Cataract Surgery
DropLess Cataract Surgery
Lens Implant Options (IOLs)
Light Adjustable Lens (LAL)
Standard vs. Laser Cataract Surgery
Cataract Online Self Evaluation
Other Services
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Fuchs’ Dystrophy
Pterygium
Keratoconus
Keratoconus
Corneal Cross-Linking
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Understanding Glaucoma
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Retina
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Macular Degeneration
Epiretinal Membrane
Floaters
Retinal Detachment
Macular Hole
Plaquenil Related Eye Problems
Vitrectomy
Comprehensive Eye Care
Comprehensive Eye Care
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Stye and Chalazion
Pediatric Eye Care
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Cataracts
Online Self Evaluation
Page Updated:
July 30, 2024
Fraser Eye
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Cataract Overview
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Cataract Online Self Evaluation
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Cataract Self Evaluation
First Name*
(Required)
Last Name*
(Required)
Email Address*
(Required)
Telephone Number*
(Required)
Q1: I am: (select your age group)*
(Required)
Under 18
18 to 55
56 to 70
Over 70
Q2. Without glasses and/or contacts: (check all that apply)*
(Required)
I have trouble reading and seeing things up close
I have trouble driving and seeing things that are far away
I have trouble seeing both far and near
Q3. What do you usually wear? (check all that apply)*
(Required)
Contact Lenses
Reading Glasses
Bifocals/Trifocals/Progressive Glasses
No Glasses
None of the above
Q4. Identify symptoms you have: (check all that apply)*
(Required)
Blurry and/or cloudy vision
Glare and/or halos around lights
Poor night vision
Sensitivity to light
None of the above
Q5: Have you had any previous eye operations?: (check all that apply)*
(Required)
Refractive surgery (LASIS, PRK, RK)
Eye muscle surgery
Retina surgery
Glaucoma surgery
None of the above
Q6. Have you ever been told you have Cataracts and need surgery?*
Yes
No
Q7. After cataract surgery:*
(Required)
I am fine with needing glasses all the time
I would like to limit my need for glasses only to reading
I would like to eliminate the need for glasses all together
Would you like to be contacted to schedule a cataract consultation?*
(Required)
Yes
No, not right now
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