Are ortho-k contact lenses right for your child?

Is your child currently nearsighted? Are one or more of your child’s parents nearsighted?

Yes    No

Would consequences of nearsightedness such as lack of self-esteem, compromised learning, or longer term vision issues concern you?

Yes    No

Do glasses or daytime vision correction interfere with your child’s normal activities like soccer, baseball, swimming, dance, gymnastics or martial arts?

Yes    No

Does your child spend significant time each day working close-up using a computer, phone or playing video games?

Yes    No

Would your child’s preference be to not wear glasses?

Yes    No