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1. What is the biggest problem that you’re having with your teeth right now:*
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?
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?
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?
Yes
No
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