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1. What is your biggest struggle with your smile?
My teeth are broken or cracked
I have missing teeth
My teeth are twisted or crooked
2. Are you happy with the color of your teeth?
Yes, but they could be a little whiter.
Somewhat, I have stains but that is not a major concern for me
No, my teeth are discolored
3. Why haven’t you fixed it?
I was not sure if I could afford it.
I have not found a dentist that I could trust.
I have not had the time to focus on me.
4. How would a beautiful smile change your life?
I would be able to stop hiding my smile
I would be able to better chew my food
I would be more confident around others
5. We have payment plans that fit most budgets. Would that be helpful for you?
Yes
No
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