Mouthguards Questionnaire
Office Information
Your name
*
Your email address
*
Doctor or office name
*
Office phone number
*
Destination URL
*
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?
*
Yes
No
General Information
In your own words, describe the premade mouthguard, the “boil-and-bite” fitted mouthguard, and a custom-made mouthguard.
Why is it important for patients to wear a mouthguard? (who is the ideal candidate)
What can happen if a patient does not wear a mouthguard?
In your own words, describe the process for taking care of a mouthguard.
Why should patients be particular about keeping their mouthguard clean?
Your Experience
Do you offer a complimentary consultation?
What makes getting mouthguards at your office better than getting treated at another office? (toot your own horn)
What types of mouthguards do you offer?
If you offer any other types of mouthguards please list here
Do you have any advice for your mouthguard patients?
Additional Information that could set you apart from your competition?
Provide any testimonials or pictures (Support a local high school? This is a great way to advertise that relationship by posting a picture of the team or you with a team member uniform!)
Do you have before and after photos? If so, please attach them here
Upload a File
Cancel
of
Do you have Sesame Social? If so, would you like us to create and post a blog from your answers as well?
Yes, please!
No, thanks!
I don't have Sesame Social!
Save
Submit
Should be Empty: