Root Canal 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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General Information
What is the purpose of a root canal?
What are the signs that a root canal is need?
What happens during a root canal?
What can patients do to make their treatment as successful as possible? (Include pre/post-op instructions.)
Your Experience
On average, how many cases do you treat each year?
What makes getting root canal 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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