Gum Disease Questionnaire
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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General Information
What is gum disease? What are the different types of gum disease?
What are the causes of gum disease?
How do you reverse/treat gum disease?
What are factors that increase a patient's risk of developing periodontal disease?
How do you prevent gum disease?
Your Experience
What makes getting gum disease treatment at your office different from getting treatment at another office? What makes you unique?
Additional Information that could set you apart from your competition?
Do you have any patient testimonials (text or videos) or videos you have created for your practice or the treatments you offer? (Include a link to any YouTube videos you’ve created!)
Do you have before and after photos? If so, please attach them here
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