Cataract Self-Evaluation Test

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

It's very important to me

It's not important to me

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

It's very important to me

It's not important to me

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?

Reading fine print

Using a computer or cooking

Driving a car

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?

Yes

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?

Yes

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 five 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?

Newsprint, books, reading maps or sewing.

Computer screens, menus, price tags or headlines.

Watching TV, cooking, cleaning or indoor activities

Driving, playing golf, seeing road signs.

Night Driving, watching movies..

Consider your personality. Based on the options scale below how would you rank your personality?

Easy going.

In the middle.

Perfectionist.

For results of your cataract lens self-evaluation, please complete the form below and press Submit.

Shah Eye Center's Cataract Counselor will send you your results along with additional information.

Your Details

Some description about this section

First Name

Last Name

Phone/Mobile