Teeth Whitening Questionnaire
Office Information
Your name
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Your email address
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Doctor or office name
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Office phone number
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Destination URL
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Please enter where you would like this content to live on your website.
Would you like to view/edit the content before it's uploaded?
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General Information
Why would you recommend teeth whitening to a patient?
Why should patients get professional teeth whitening?
What are the dangers of OTC whitening?
Your Experience
What specific brands/methods you use to whiten teeth?
What is the process of teeth whitening in your office?
Why should patients choose your office for teeth whitening? What makes you unique?
Additional Information that could set you apart from your competition?
Please include any new testimonials related to teeth whitening, or any before and after photos of the procedure.
Do you have before and after photos? If so, please attach them here
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