![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
Welcome to our LASIK self test
To Start
Please tell us how old you are
Under 18
19-39
40-59
60+
![Take Our Self Test Online](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/girlOnLaptop.png)
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
Question 2:
Do You wear...
Glasses
Contacts
Glasses & Contacts
Neither
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
![Blue Banner](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/selfTestBanner.jpeg)
Question 3:
Without your corrective lenses, do you have...
Trouble seeing far away
Trouble seeing up close
Overall blurry vision
Trouble with reading only
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
![Blue Banner](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/selfTestBanner.jpeg)
Question 4:
Have you ever been told you have astigmatism?
Yes
No
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
![Email](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/newMessage.png)
Question 5:
What phone can we use to call/text you?
Next
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
![First Name](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/first.jpeg)
Question 6:
What is your first name?
Next
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
![Last Name](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/last.jpeg)
Question 7:
What is your last name?
Next
![Cutarelli Vision Logo](https://www.lasikdenver.net/wp-content/uploads/2020/11/lasik-denver-logo.png)
![](https://www.lasikdenver.net/wp-content/themes/porto-child/self-test-assets/girlOnPhone.png)
Question 8 (the final one!):
What is your email?
Submit
Question 1 of 8
Unfortunately you are not a candidate for LASIK due to your age (18 or under). If you entered this age by mistake, refresh the page and select your age again.