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Take the Quick Survey (2 Minutes)
We’re on a mission to make treating TMJ pain simpler, more affordable, and actually effective. Your answers will help us build something better—for you, and for millions like you.
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1
Name
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First Name
Last Name
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2
Email
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example@example.com
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3
Do you have a dentist who could write a prescription for a custom-fit, TMJ pain relief Rx mouthpiece?
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YES
NO
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4
Great! How likely are you to ask them?
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(Move the slider left or right)
How Likely?
Very Unlikely
Unlikely
Likely
Very Likely
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How Likely?
Very Unlikely
Unlikely
Likely
Very Likely
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5
What might stop you from getting the prescription?
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Please select up to TWO options.
Cost of the prescription
I don't have the time
Unsure how to do it
Not comfortable asking my dentist
Other
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6
If we help you get the prescription from your dentist, what price would you expect to pay for a custom‑fit, TMJ pain relief Rx mouthpiece you fabricate at home?
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(Move the slider left or right)
Price Range
<$50
$100
$150
$200
$250
$300
$350
$400
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Price Range
<$50
$100
$150
$200
$250
$300
$350
$400
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7
If your dentist wouldn't prescribe the device, what price would you expect to pay for a custom‑fit, TMJ pain relief Rx mouthpiece that includes a virtual dental consultation?
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(Move the slider left or right)
Price Range
<$50
$100
$150
$200
$250
$300
$350
$400
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Price Range
<$50
$100
$150
$200
$250
$300
$350
$400
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