Nice that you have chosen us. We look forward to meeting you!
Please fill out this questionnaire completely. There are general conditions that affect vision or eye health. The better we know about your health condition, the more accurately we can advise you.
Your personal information will be kept confidential and stored solely for your individualized care and will not be shared with third parties.
The analysis of your situation will take 60 – 90 minutes. During this process, your complete visual and optometric status will be collected. This includes:
After the measurements are taken, we take enough time to look at the findings together, to advise you individually and to plan the next steps.