0%Eye Interview
  • Welcome,

    This pre-examination interview is highly valued by Dr. Bulos and his Staff.

    Please answer every question honeslty, just as you would in person.

    Your answers will be clarified during your examination.

    Thank you.
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  • Please tell us about your current corrective lenses.

  • COMPUTER DEMANDS

  • VISION PERFORMANCE

  • OUTDOOR DEMANDS

  • EYEGLASS DESIRES & PURCHASING PLANS

  • INTERESTS

  • CONTACT LENS HISTORY (IF APPLICABLE)
    If you wear contact lenses please complete this section.
    If not.. go to next page.

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