* 1. Which surgery did you undergo?

* 2. Where did you have the surgery?

* 3. When did you have the surgery?

* 4. List any additional surgeries or treatments that were due to the original surgery.

* 5. Did the clinic (surgeon) accurately describe the risks of eye discomfort (dryness, pain, light sensitivity, etc) to you before the surgery?

* 6. Did the clinic (surgeon) accurately describe the risks of vision problems not correctable with glasses to you before the surgery?

* 7. Was your surgeon's (clinic's) responses to your complaints about your surgery... Check all that apply

* 8. How long after the surgery did your eye discomfort begin?

* 9. How long has your eye discomfort persisted after the surgery?

* 10. How long after the surgery did your vision problem(s) begin?

* 11. How long has your vision problem(s) persisted after the surgery?

* 12. So far my annual costs for eye care due to the surgery have been

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