Neurolens Test

You May Be A Candidate For Symptom Relief

Click any or all symptoms you are experiencing to take our Lifestyle Questionnaire.

​​​​​​​To begin, answer the questions in the Lifestyle Index Form below. If you score a 4 or higher for the first 3 questions or at least three 3’s in all of the questions, you are a prime candidate for Neurolens.


Headaches
Stiffness / Pain in Neck / Shoulders
Discomfort with Computer Use
Tired Eyes
Dry Eye Sensation
Light Sensitivity
Dizziness

Additional Notes

Total

Personal Information

Your answers show you may find relief with Neurolens Glasses. Enter your information and our Neurolens Specialist will contact you to discuss next steps.

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Contact Information

Thank you for completing the online information, we hope to help you find your AHHHH! Moment and Relief from symptoms with Neurolenses!

Roya1234 none 9:00 AM - 5:00 PM 9:00 AM - 5:00 PM 9:00 AM - 5:00 PM 9:00 AM - 5:00 PM 9:00 AM - 4:00 PM Closed Closed https://pay.balancecollect.com/m/eyesonyou 2066322237 2066323811 2300 Eastlake Ave. E #110,
Seattle WA 98102 https://maps.app.goo.gl/68SqD9hg94qs6jQH9 8:00 AM - 4:00PM 8:00 AM - 4:00PM 8:00 AM - 4:00PM 8:00 AM - 4:00PM 8:00 AM - 4:00PM Closed Closed https://book2.getweave.com/cde97f5d-0b69-4df8-be3b-d03ab6881fc8/request-appointment?source=WEBSITE