Questionnaire prior to Flow 2.0 eye examination

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* 1. Full name:

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* 2. Age:

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* 3. Personal code:

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* 4. What's your current glasses prescription?

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* 5. What kind of vision aids do you use?

I wear glasses

I wear contact lenses

I wear both glasses and contact lenses

I do not use vision aids

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* 6. How much are you disturbed by glasses and contact lenses in your daily life?

1 – not at all

2 – a little

3 – moderately

4 – disturbed

5 – disturbed a lot

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* 7. What are the situations where glasses and contact lenses bother you most? (You may choose multiple answers)

Work

Travel

Sports

Housework

Leisure

Wearing glasses makes me insecure

Other

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* 8. How long have you been considering a laser procedure?

I have never thought of it before

Up to 1 month

1-3 months

Up to 1 year

1-3 years

Over 3 years

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* 9. Why have you not had a laser eye procedure earlier?

I am used to wearing glasses and/or contact lenses

The procedure is expensive

I have not found time for the procedure

I am intimidated by the procedure

Other reason (Please specify)

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* 10. What motivated you to come to the eye examination?

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* 11. What most influences your decision on choosing an eye clinic for your procedure? (You may choose multiple answers)

Safety

Pricing

Professional credentials

100% vision guarantee

Customer service

Full package with pre- and post-procedure treatment

Other (Please specify)

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* 12. If you had the opportunity to undergo the procedure tomorrow, would you have any doubts or questions?

Yes (Please specify)

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* 13. Would your life quality improve without having to wear glasses and/or contact lenses?

Yes (Please specify, what kind of new opportunities do you see in a life without glasses?)

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* 14. Do you have a person to discuss the final decision to undergo the laser procedure?

Yes, my husband/wife/partner

Yes, my friend

Yes, my parent or family member

Other (Please specify)

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* 15. Do you have any friends who have had laser treatment?

Yes (Are they satisfied with the results?)

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* 16. What is most important to you when choosing a laser procedure?

Quick recovery

Permanent results

No lifestyle restrictions in the future

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* 17. If you qualify for the procedure, how soon would you plan to schedule?

As soon as possible

Within 2 weeks

Within 1-3 months

Within a year

Unsure, maybe some time in the future (Is there any factor that might delay the decision indefinitely?)

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* 18. How did you hear about KSA Vision Clinic?

I did my own research and searched online

I received a recommendation from a friend, acquaintance, or family member

I saw a post or advertisement on social media (Facebook, Instagram)

I saw information through another channel (e.g., a banner on Delfi, an article in Postimees, a video on TikTok, an advertisement in a gym, etc. Please specify):

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* 19. Do you consent to the processing of your personal data?

I agree to the terms of personal data protection.