RLE Self-Test – Eye Center of New York

How old are you? *

18-29
30-39
40-54
55+

Do you wear... *

Without your corrective lenses, do you have... *

Have you ever been told you have astigmatism? *

Yes
No

Good News:

Based on your answers, you may be a good candidate for a vision correction procedure. An in-person consult is necessary to determine accuracy of these results.

How would you prefer to receive more information? *

Email
Phone Call

What's the best email for you?

What's a good phone number for you?

May we have your first name?

Thanks! And your last name?