{"id":52,"date":"2021-07-27T15:38:38","date_gmt":"2021-07-27T19:38:38","guid":{"rendered":"https:\/\/peposevision.com\/?page_id=52"},"modified":"2024-04-10T12:57:06","modified_gmt":"2024-04-10T16:57:06","slug":"lasik-self-test","status":"publish","type":"page","link":"https:\/\/peposevision.com\/lasik-st-louis\/lasik-self-test\/","title":{"rendered":"LASIK Self-Test"},"content":{"rendered":"<style id=\"wpforms-css-vars-root\">\n\t\t\t\t:root {\n\t\t\t\t\t--wpforms-field-border-radius: 3px;\n--wpforms-field-background-color: #ffffff;\n--wpforms-field-border-color: rgba( 0, 0, 0, 0.25 );\n--wpforms-field-text-color: rgba( 0, 0, 0, 0.7 );\n--wpforms-label-color: rgba( 0, 0, 0, 0.85 );\n--wpforms-label-sublabel-color: rgba( 0, 0, 0, 0.55 );\n--wpforms-label-error-color: #d63637;\n--wpforms-button-border-radius: 3px;\n--wpforms-button-background-color: #066aab;\n--wpforms-button-text-color: #ffffff;\n--wpforms-page-break-color: #066aab;\n--wpforms-field-size-input-height: 43px;\n--wpforms-field-size-input-spacing: 15px;\n--wpforms-field-size-font-size: 16px;\n--wpforms-field-size-line-height: 19px;\n--wpforms-field-size-padding-h: 14px;\n--wpforms-field-size-checkbox-size: 16px;\n--wpforms-field-size-sublabel-spacing: 5px;\n--wpforms-field-size-icon-size: 1;\n--wpforms-label-size-font-size: 16px;\n--wpforms-label-size-line-height: 19px;\n--wpforms-label-size-sublabel-font-size: 14px;\n--wpforms-label-size-sublabel-line-height: 17px;\n--wpforms-button-size-font-size: 17px;\n--wpforms-button-size-height: 41px;\n--wpforms-button-size-padding-h: 15px;\n--wpforms-button-size-margin-top: 10px;\n\n\t\t\t\t}\n\t\t\t<\/style><div class=\"wpforms-container wpforms-container-full wpforms-block wpforms-block-97743cac-c31a-433b-aa61-ea98218fd07b wpforms-render-modern\" id=\"wpforms-13845\"><form id=\"wpforms-form-13845\" class=\"wpforms-validate wpforms-form wpforms-ajax-form\" data-formid=\"13845\" method=\"post\" enctype=\"multipart\/form-data\" action=\"\/wp-json\/wp\/v2\/pages\/52\" data-token=\"3379a242995db403ef70ead9facf0a68\"><noscript class=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/noscript><div class=\"wpforms-hidden\" id=\"wpforms-error-noscript\">Please enable JavaScript in your browser to complete this form.<\/div><div class=\"wpforms-page-indicator progress\" data-indicator=\"progress\" data-indicator-color=\"#066aab\" data-scroll=\"1\" role=\"progressbar\" aria-valuenow=\"1\" aria-valuemin=\"1\" aria-valuemax=\"2\" tabindex=\"-1\"><span class=\"wpforms-page-indicator-page-title\" ><\/span><span class=\"wpforms-page-indicator-page-title-sep\" style=\"display:none;\"> &#8211; <\/span><span class=\"wpforms-page-indicator-steps\">Step <span class=\"wpforms-page-indicator-steps-current\">1<\/span> of 2<\/span><div class=\"wpforms-page-indicator-page-progress-wrap\"><div class=\"wpforms-page-indicator-page-progress\" 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class=\"choice-2 depth-1\"><input type=\"checkbox\" id=\"wpforms-13845-field_4_2\" name=\"wpforms[fields][4][]\" value=\"No\" aria-errormessage=\"wpforms-13845-field_4_2-error\" required ><label class=\"wpforms-field-label-inline\" for=\"wpforms-13845-field_4_2\">No<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-13845-field_5-container\" class=\"wpforms-field wpforms-field-pagebreak\" data-field-id=\"5\"><div class=\"wpforms-clear wpforms-pagebreak-left\"><button class=\"wpforms-page-button wpforms-page-next wpforms-disabled\"\n\t\t\t\t\tdata-action=\"next\" data-page=\"1\" data-formid=\"13845\" aria-disabled=\"true\" aria-describedby=\"wpforms-error-noscript\">Next<\/button><\/div><\/div><\/div><div class=\"wpforms-page wpforms-page-2 last \" data-page=\"2\" style=\"display:none;\"><div id=\"wpforms-13845-field_8-container\" class=\"wpforms-field wpforms-field-checkbox\" data-field-id=\"8\"><fieldset><legend class=\"wpforms-field-label\">What is your age range? <span 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well\u200e<\/label><\/li><\/ul><\/fieldset><\/div><div id=\"wpforms-13845-field_10-container\" class=\"wpforms-field wpforms-field-radio\" data-field-id=\"10\"><fieldset><legend class=\"wpforms-field-label\">What do you usually wear? 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