Welcome to our RLE self test
Please tell us how old you are
Have you ever been told you have astigmatism?
Do you have to wear glasses/contacts for?
Have you had any of the following procedures on your eyes (LASIK, PRK, RK, CATARACT SURGERY)?
Do you suffer from multiple sclerosis, lupus, keratoconus or diabetic retinopathy?
Which location would work best for you?
What email should we send the results to?
What is your first name?
What is your last name?
Question 10 (the final one!):
What phone number can we call/text you at?
Unfortunately you are not a candidate for RLE due to your age (18 or under). If you entered this age by mistake, refresh the page and select your age again.
Unfortunately you are not a candidate for RLE due to having one of the pre-existing medical conditions listed. If you entered that you have one of those pre-existing conditions by mistake, refresh the page and select your choice again.