What type of orthodontic treatment are you interested in?
Traditional braces
Clear aligners
Lingual braces
Retainers
Not sure
What is your primary motivation for seeking orthodontic treatment?
Aesthetic improvement
Correcting bite issues
Improving oral health
Enhancing confidence
Other
Are you looking for a specific orthodontic technology?
3D imaging
Accelerated treatment
Digital impression
Customized treatment plan
No preference
What is your preferred timeline for completing orthodontic treatment?
Fast-track (6-12 months)
Standard timeline (12-24 months)
Flexible timeline
No preference
Not sure
How do you prefer to communicate with your orthodontist?
In-person appointments
Virtual consultations
Phone calls
Email correspondence
No preference
What factors are most important to you when choosing an orthodontic practice?
Experience of orthodontist
Cost of treatment
Location convenience
Technology used
Patient reviews
All set, how can we reach you?
Name
Email
Phone
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