A cataract or LASIK lead form should ask which procedure the patient is interested in (they are different patient journeys), current vision correction method (glasses, contacts, or none), whether they have been told they have cataracts by an eye doctor, and preferred contact method and timing. Keeping the form to four or five questions maximizes completion rate while still letting staff prioritize genuinely qualified leads before the first call.
Cataract patients are typically older, often already diagnosed by an optometrist, and moving toward a medically necessary procedure on a referral-driven timeline. LASIK candidates are self-directed, younger, and comparison-shopping on price and provider reputation. A single generic "eye surgery" form serves neither well; separate forms (or a first question that branches the flow) let each be handled correctly from the first touch.
For LASIK: current prescription strength if known, how long they've worn glasses or contacts, and whether they've researched pricing already (this reveals where they are in the decision process). For cataracts: whether an eye doctor has already recommended surgery, which eye or both, and their insurance provider, since cataract surgery is typically insurance-covered and that changes the intake conversation entirely.
Avoid open-ended text fields asking patients to "describe your vision concerns," which lower completion rates without adding much staff can't get faster on a call. Keep the form to structured, quick-answer questions and let the phone call do the deeper qualifying.
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