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.