» Qualify Form

1. How old are you

A. Under 40

B. 40-70

C. 70+

2. How are you currently coping with presbyopia

A. Reading glasses

B. Contact lenses

C. Others

3. What do you wear reading glasses or contacts primarily for?

A. Reading cell phone messages

B. Working on the computer

C. Reading books

D. Reading fine print at work

E. All of the above

F. Other

4. What bothers you about wearing contacts (check all that apply)

A. Dry eyes

B. Not being able to participate in certain activities (e.g. swimming)

C. Burden of putting on and replacing on a daily/monthly basis

D. All of the above

E. I don’t wear contacts

5. What bothers you about wearing reading glasses (check all that apply)

A. Constantly switch between having the glasses on to read and removing them for doing routine tasks

B. Easily lost, misplaced, broken or scratched

C. Poor aesthetics

D. All of the above

E. I don’t wear reading glasses

6. Is having both excellent near and intermediate/distance vision important to you?

A. Very important

B. Somewhat important

C. Not important

7. Which of the following would be important to you in a presbyopia correction procedure? (check all that apply)

A. Minimally invasive procedure

B. An additive procedure that doesn’t require the removal of the natural lens, the reshaping of the cornea or the removal of corneal tissues

C. Provides excellent near vision while preserving intermediate & distance vision

D. 97% satisfaction rate

E. All of the above

8. How important is the price of the vision correction procedure you’ll get?

A. Price is not a concern of mine

B. Price is a concern, I’m on a budget

C. I’m willing to pay more for an excellent vision solution

Based on your answers from the suitability questionnaire, the Flexivue Microlens™ procedure might not be the best presbyopia-correcting solution for you at this time. It would be best to reach out to your eye doctor to find out more. Alternatively, please look up Flexivue Microlens™ partner clinics at the link below and inquire directly.

Find A Doctor

Based on your answers from the suitability questionnaire, the Microlens procedure seems to be the ideal presbyopia-correcting solution for you. Please use links below to find a Flexivue Microlens™ partner clinic near you for a free examination, or schedule a complimentary 1-on-1 consultation call with one of our company representatives.

Find A Doctor Schedule a Call