Glenwood Springs
970-928-0105
|
Eagle
970-926-7773
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About
Doctors
Dr. Ehrlich
Dr. Stefan Smith
Patient Information
Cataracts
Cataract Self Test
Services
Blepharoplasty
Dry Eye
Eye Allergies
LASIK/PRK
Optical & Contact Lenses
Pterygium Removal
Locations
Blog
Contact Us
Glenwood Springs
970-928-0105
|
Eagle
970-926-7773
Home
About
Doctors
Dr. Ehrlich
Dr. Stefan Smith
Patient Information
Cataracts
Cataract Self Test
Services
Blepharoplasty
Dry Eye
Eye Allergies
LASIK/PRK
Optical & Contact Lenses
Pterygium Removal
Locations
Blog
Contact Us
Cataract Self Test
Your First Name
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Your Email Address
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Your Phone Number
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1. Which one describes your vision best?
Blurry or cloudy
Not as colorful and vibrant as it used to be
Halos around lights and/or over-sensitivity to light
Poor vision at night
Double or multiple images in one eye
None of the above
2. Do you have difficulty seeing street signs? (curbs, freeway exits, traffic lights, halos/glare around lights)
Yes
No
3. Do you have difficulty with leisure activities such as sports or hobbies? (playing card games, bingo, dominos or sports such as bowling, hunting, golf, tennis or other)
Yes
No
4. Do you have difficulty reading books and newspapers with good light, extra blinking and proper glasses?
Yes
No
5. What is MOST important for you to be able to do WITHOUT glasses?
Read newsprint and books
Computer screen and price tags
Watching TV, cooking and cleaning
Driving or golfing
Night driving or watching movies
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Our Locations
Glenwood Springs
1607 Grand Ave. Suite 31
Glenwood Springs, CO 81601
970-928-0105
eagle
232 Broadway St
Eagle, CO 81631
970-926-7773
