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?

Yes‎‎‎‎No

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

Immediately‎‎

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?

Yes‎‎‎‎No


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.