HOMEWHO IS AESCULAPIUSWHAT IS EXCIMER LASERFOR WHOMWHY IN TURKEYHOWFAQLINKSNEWS

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	Online questionnaire for pre-examination Few question about your health Are you younger than 18 years? --Choose here Yes No If yes, you are not eligible for LASIK/LASEK. Are you pregnant? --Choose here Yes No If yes, you are not eligible for LASIK/LASEK. Stable refraction, has your prescription changed last year? --Choose here Yes No If yes, you might not be eligible for LASIK/LASEK. The next questions are important for the eye doctor to know. The eye doctor will determine if you’re eligible for LASIK/LASEK operation. Are you Diabetic? --Choose here Yes No If yes, which type: Did you suffer from any serious eye disease? --Choose here Yes No If yes, which type: Did you suffer from conjunctivitis, red eye? --Choose here Yes No If yes, when: Did you have any serious eye surgery? --Choose here Yes No If yes, what kind: Do you suffer from any auto-immune disease? --Choose here Yes No If yes, which: Do you use regular medication? --Choose here Yes No If yes, which type: What is the refraction your lenses/glasses? left: right: --Choose here Mr. Mrs. Last name: First name: Date of birth: Tel. day time: Tel. mobile: E-mail address: Required travel date: trom to Address: Zip code: City: Country: Profession: Nationality: Do you have travel insurance? --Choose here Yes No If yes, which: Insurancenumber: