It's a tough decision, alright.
I had both eyes done about a year ago -- one in February and one in March.
I found it interesting that my ophthalmologist, who did the surgery, recommended against the multifocal lenses even though it would have been far more profit for him.
The only remaining question was whether to go strictly distance, strictly near, or one eye distance and one eye near focus. I was really wavering about this.
Again, my doc's comment was that the one and one (distance/near) combination seemed to work well for people who were already comfortable with that combination of contact lenses. But he said that he had tried that contact combination himself at one time and could never get used to it. He gave it a decent try (about four months), but he quit due to his brain's inability to accommodate.
I've been extremely nearsighted all my life, so I decided on both eyes set for distance. It has been nearly a year now, and I'm very happy with my decision. Being able to see my surroundings clearly immediately on waking in the morning had always been foreign to me, and I absolutely love it.
The slight nuisance of having to grab a pair of reading glasses (which now reside permanently in my shirt pocket) from time to time is so minor that it really doesn't bother me.
OTOH, I know several people who got the one and one combination and seem perfectly happy with it.
Bottom line: there is no universal answer.