MARGOLIS
VISION

  Your Vision Is Our Focus

Are you a Laser candidate? 

   

Laser surgery candidate information

Dr. Margolis has extensive experience in refractive surgery.
With a mixture of conservatism and innovation, we have been able to achieve the spectacular results our patients have come to expect.  We pride ourselves on our safety and thoroughness.

If you are interested in Laser Vision Correction we can help educate you so that you can make the choices you will be most comfortable with.
If you are ready to take the next step and proceed with your site enhancing procedure, be assured that Dr. Margolis and his staff will customize your treatment and experience with your absolute comfort in mind.



 

 
1

Please take the following self-assessment quiz so you can come to understand your own suitability as a Laser Vision Correction candidate.

 
Full Name

 
Email

Check all of the following that apply to you:

Part A
  I am a flexible, easy-going person.
  I adjust to change rather easily.
  I have never been able to wear contact lenses successfully.
  I would be satisfied if my natural vision was greatly improved,
even if I still had to wear corrective lenses some of the time.
  Having to depend on glasses/contacts for clear vision bothers me.
  I am not a perfectionist.
  I often wish I did not have to wear corrective lenses.
  I feel my appearance is better without glasses.
  New career opportunities would be open to me if I did not have to
wear glasses or contacts.
  Good vision without glasses or contacts is more important than having
great vision with them.
  I find my participation in sports and other activities is restricted by wearing
corrective lenses.
  I fear I would be totally disabled if I lost my contacts or broke my glasses.

 
 Part B
  I tend to be a perfectionist.
  If after the laser procedure I still needed to wear a correction,
I would be upset and frustrated.
  It doesn't bother me to wear contact lenses. They give me excellent vision
for all activities, are comfortable and are not a hassle to handle.
  I don't accept change easily.
  When things don't happen in just the way I had planned or expected,
I get upset or stressed out easily.
  If I did not end up with perfect vision after my procedure, I would be upset
and consider the experience a failure.
 
  I don't mind wearing glasses and would feel uncomfortable without them.

 

 

 Number of statements you agreed with in Part A.

 

 Number of statements  you agreed with in Part B.

 

Part A Part B

 
Excellent Candidate
 
9 or more - 2 or less
 Borderline Candidate
5 to 9 - 3 to 5
 Poor Candidate
0 to 4 - 5 or more
 

 

     

Margolis Vision
10099 Ridge Gate Parkway
Suite 365
Lone Tree, CO 80124
303-797-1150
fax: 303-797-0169
email