Invisalign Clear Braces Questionnaire

1. I am:

An adult considering Invisalign‎‎

A teen considering Invisalign‎‎

An adult considering Invisalign for my child‎‎‎‎

An adult considering Invisalign for another adult‎‎‎‎‎‎

2. What do you hope to achieve from your Invisalign treatment?

More even bite

Less crowding‎‎

Straighter teeth‎‎‎‎‎‎

Reduce the overbite‎‎‎‎‎‎‎‎

Reduce underbite

Close gaps‎‎‎‎

Smile with confidence‎‎‎‎

3. Do you have any orthodontic insurance coverage?


4. If everything works out, when would you like to start Invisalign treatment?


In the next month‎‎

In the next 6 months

Next January‎‎

5. How much research have you done?

Just started and would like a personal Invisalign Consultation‎‎‎‎

I would like a second opinion‎‎‎‎

Ready to schedule an appointment to start Invisalign treatment‎‎‎‎‎‎

6. Would you like to have your teeth whitened while having Invisalign therapy?


If you answered YES to ANY of the questions above, there are often several alternatives to improve your teeth and smile. To receive a personalized response to your smile analysis, please complete the form below.

You can have the smile you’ve always wanted! contact us today to schedule an appointment.