Home Meet Our Team ▼ Services ▼ Conditions ▼ Glasses & Contact Lenses Patient Resources ▼ Contact Us ▼ Eyeglasses & Contacts Self-Test Home / Eyeglasses & Contacts Self-Test Eyeglasses Self-Test Name(Required) First Last Phone(Required) Email(Required) Do you spend a lot of hours in front of a computer screen or other digital devices? Yes No Do you have blurred vision? Yes, Sometimes Yes, All the time No Do you have to strain to focus? Yes, Sometimes Yes, All the time No When you are reading things up close, do the words look blurry? Do you need to hold them farther away to read? Yes, Sometimes Yes, All the time No Do you have issues reading small print in dim lighting? Yes, Sometimes Yes, All the time No Do you get a headache when reading? Yes, Sometimes Yes, All the time No Does it take you longer to read than it used to? Yes No Do you think you need glasses? Yes No SUBMIT Contact Us THANKS FOR YOUR INTEREST! Our doctors and staff are devoted to our patients and to the commitment of providing quality patient care on all levels. We encourage your feedback, please feel free to send us a message using the following contact form. First Name Last Name Phone Email Procedure of Interest Procedure of Interest* LASIK PRK Cataract Laser Surgery Selective Laser Trabeculoplasty Laser Iridotomy YAG Laser Refractive Multifocal IOLs Tecnis Multifocal Tecnis Symfony/Toric Dropless Cataract Surgery ZKU Implant XEN Gel Stent MIGS/Goniotomy BOTOX Latisse Eyelid Surgery Oculoplastic Surgery Message SUBMIT AVERAGE RATING 3.8 41 Reviews Our Locations MEDFORD OFFICE: 609.654.6140 CINNAMINSON OFFICE: 856.829.0600 VOORHEES OFFICE: 856.770.0030 HADDONFIELD WEST OFFICE: 856.429.3737 WINSLOW OFFICE: 856.767.9101 BROWN MILLS OFFICE: 609.893.7575 Connect Quick Links Patient Forms Patient Portal Blog Meet the Team Conditions Services Glasses & Contact Lenses ©2021 Eye Care Physicians & Surgeons of New Jersey. All Rights Reserved. ACCESSIBILITY STATEMENT TERMS OF USE SITEMAP