Invisalign
Braces
6month
Implants
Cosmetic
Whitening
Perio
All-on-4
Wisdom
Pediatric
Cavity
Sleep

Invisalign
Braces
6month
Implants
Cosmetic
Whitening
Perio
All-on-4
Wisdom
Pediatric
Cavity
Sleep

Invisalign Quiz

1. What is your biggest concern with your teeth?

1st answers

I'm embarrassed to smile I always have to use a toothpick because food gets stuck They are crooked Something else

2. Are you worried about feeling uncomfortable with the look of traditional metal braces?

2nd answers

Yes No

3. What would be the biggest benefit if we could help you straighten your teeth?

3rd answers

I could smile with confidence again I would not have to worry about my teeth cracking I would be able to be healthier because I could better clean my teeth

4. If you could fit Invisalign (Clear Aligners) into your budget, are you ready to start right away?

4th answers

Yes No

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Invisalign Quiz Survey

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1. What is your biggest concern with your teeth?

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I'm embarrassed to smile

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I always have to use a toothpick because food gets stuck

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They are crooked

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Something else

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Yes

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No

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I could smile with confidence again

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I would not have to worry about my teeth cracking

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I would be able to be healthier because I could better clean my teeth

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Braces Quiz

1. What is your biggest concern with your teeth?

1st answer

I'm embarrassed to smile I always have to use a toothpick because food gets stuck They are croocked Something else

2. Are you worried about feeling uncomfortable with the look of traditional metal braces?

2nd answer

Yes No

3. What would be the biggest benefit if we could help you straighten your teeth?

3rd answer

I could smile with confidence again I would not have to worry about my teeth cracking I would be able to be healthier because I could better clean my teeth

4. If you could fit Braces into your budget, are you ready to start right away?

4th answer

Yes No

6 Month Smiles Quiz

1. What is your biggest concern with your teeth?

1st answer

I'm embarrassed to smile I always have to use a toothpick because food gets stuck They are crooked Something else

2. Are you worried about feeling uncomfortable with the look of traditional metal braces?

2nd answer

Yes No

3. What would be the biggest benefit if we could help you straighten your teeth?

3rd answer

I could smile with confidence again I would not have to worry about my teeth cracking I would be able to be healthier because I could better clean my teeth

4. If you could fit 6 Month Smiles into your budget, are you ready to start right away?

4th answer

Yes No

Implants Quiz

1. What is the biggest problem that you’re having with your teeth right now?

1st answers

I'm missing 1-2 teeth I'm missing more than 2 teeth I want to get rid of my denture I need to have 1 or multiple teeth removed

2. Why haven’t you fixed the problem yet?

2nd answers

I haven't found a dentist I trust I haven't had time The solutions I've found are too expensive

3. What would be the biggest benefit if we could help you fix this problem?

3rd answers

I could smile with confidence again I could eat normally again My teeth won't hurt anymore

4. If you could fit implants into your budget, are you ready to start right away?

4th answers

Yes No

Cosmetic Dentistry Quiz

1. What is your biggest struggle with your smile?

1st answer

My teeth are broken or cracked I have missing teeth My teeth are twisted or crooked

2. Are you happy with the color of your teeth?

2nd answer

Yes, I have pearly whites Somewhat, I have stains but that is not a major concern for me No, my teeth are discolored

3. Why haven’t you fixed it?

3rd answer

I was not sure if I could afford it I did not find a dentist I could trust I have not had time to focus on me

4. How would your life change if you had a beautiful smile?

4th answer

I would be able to stop hiding my smile I would be able to better chew my food I would be more confident around others

Teeth Whitening Quiz

1. Are you happy with the color of your teeth?

1st answer

Yes No

2. Do you drink tea, coffee, wine or soda?

2nd answer

Yes No

3. Would having a whiter smile help you to improve your confidence?

3rd answer

Yes No

Perio Quiz

1. Do your gums bleed?

1st answer

Yes No

2. Do you feel that your teeth are looking longer?

2nd answer

Yes No

3. Do you sometimes feel like your breath is not as fresh as it could be?

3rd answer

Yes No I don't know

4. Have you had deep cleanings for gum treatment in the past?

4th answer

Yes No

All-on-4 Quiz

1. What is the biggest problem that you’re having with your teeth right now?

1st answer

I'm missing 1-2 teeth I'm missing more than 2 teeth I want to get rid of my denture I need to have 1 or multiple teeth removed

2. Why haven’t you fixed the problem yet?

2nd answer

I haven't found a dentist I trust I haven't had time The solutions I've found are too expensive

3. What would be the biggest benefit if we could help you fix this problem?

3rd answer

I could smile with confidence again I could eat normally again My teeth wouldn't hurt anymore

4. If you could fit implants into your budget, are you ready to start right away?

4th answer

Yes No

Wisdom Teeth Removal

Are You a Good Candidate for
Take The Quiz Below to Find Out !

Wisdom Teeth Quiz

1. What Is The Biggest Problem That You’re Having With Your Teeth Right Now?

1st answer

I'm missing 1-2 teeth I'm missing more than 2 teeth I want to get rid of my denture I need to have 1 or multiple teeth removed

2. Why Haven’t You Fixed The Problem Yet?

2nd answer

I haven't found a dentist I trust I haven't had time The solutions I have found are too expensive

3. What Would Be The Biggest Benefit If We Could Help You Fix This Problem?

3rd answer

I could smile with confidence again I could eat normally again My teeth wouldn't hurt anymore

4. If You Could Fit Implants Into Your Budget, Are You Ready To Start Right Away?

4th answer

Yes No

Pediatric Quiz

1. Does your child eat sticky food or candy

1st answer

Yes No

2. Does Your Child Brush and Floss at least twice a day?

2nd answer

Yes No

3. Has your child been to the dentist in the last 6 months?

3rd answer

Yes No

4. Does your child have sealants?

4th answer

Yes No Not sure

Dental Cavities Risk Questionnaire

1. How often do you brush, floss and use mouthwash?

1st answer

Once a day Twice a day I don't floss or use mouthwash

2. Did your home have fluoridated water as a child? If not, did you receive fluoride supplements?

2nd answer

Yes No

3. Have you or other members of your family experienced tooth loss?

3rd answer

Yes No

4. Do you chew tobacco or smoke?

4th answer

Yes No

5. Do you drink bottled water or tap water with Fluoride?

5th answer

Bottled Tap I don't know

6. Has someone told you that you snore?

6th answer

Yes No

7. How often do you drink carbonated beverages?

7th answer

Once a day A few times a day Not at all

8. What beverages do you drink with meals?

8th answer

Soda Juice Water Alcoholic Beverages

Sleep Quiz

Do you snore loudly?

1st answer

Yes No

Do you often feel tired or sleepy?

2nd answer

Yes No

Have you ever been diagnosed with central or obstructive sleep apnea?

3rd answer

Yes No I don't know

Do you use a CPAP Machine?

4th answer

Yes No

Has anyone observed you stop breathing during your sleep?

5th answer

Yes No

What would be the biggest benefit if we could help you fix this problem?

6th answer

I would be able to sleep more comfortably My partner or spouse could get better sleep I would be healthier, since Sleep Apnea has the potential to be life-threatening

Invisalign Quiz

Invisalign Quiz Survey

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Braces Quiz

6 Month Smiles Quiz

Implants Quiz

Cosmetic Dentistry Quiz

Teeth Whitening Quiz

Perio Quiz

All-on-4 Quiz

Wisdom Teeth Removal

Wisdom Teeth Quiz

Pediatric Quiz

Dental Cavities Risk Questionnaire

Sleep Quiz

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