LASIK:  Patient Expectation Profile Test


This profile test is utilized by Dr. Coleman with his patients to determine their candidacy and level of LASIK expectations prior to surgery.

Check the following statements 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 were 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 corrective lenses 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 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.
( ) I am aware of restrictions regarding my position with my employer that pertain to laser vision correction (If you are uncertain, please as it is your responsibility).

Number of statements you agree with in Part A. ______
Number of statements you agree with in Part B. ______