1 Hour Dental Crown

1
Enter your name* This field is required.
First Name
Last Name
2
What brings you to 1 Hour Dental Crown today? Please select the option that best describes your current need* This field is required.
I have a broken tooth that can’t be fixed with a filling, and I need a quick solution.
I chipped a tooth and want to restore my smile quickly.
I started the implant process, but I never got the crown finished.
I want to fix the appearance of my teeth for a more confident smile.
I have a busy schedule and need a fast, one-visit crown solution.
3
How soon are you looking to resolve this issue?* This field is required.
As soon as I can get scheduled – this issue is a priority for me.
Within a week – I’d like to take care of this as soon as possible.
Within a month – It’s important, but I’m flexible on timing.
When I can assemble the payment – I’m ready once I’ve sorted out my finances.
4
How frustrated are you with your current dental issue?* This field is required.
Extremely frustrated – I need this resolved immediately.
I’m pretty frustrated – It’s affecting my day-to-day life.
I’m somewhat frustrated – It’s a problem, but I’m managing for now
It’s a minor annoyance – I’d like to take care of it soon.
I’m not really frustrated – I just know it needs to be addressed eventually.
5
What’s the main reason you’re looking to address this dental issue now?* This field is required.
I have an important event coming up, and I want to feel confident about my smile.
I interact with people regularly, and maintaining my appearance is important for my work.
This issue has been bothering me for a while, and I’m ready to get it taken care of.
It’s now affecting my health – I’m in pain and need immediate treatment.
I’ve decided it’s finally time to invest in fixing this and improving my smile.
6
How are you currently managing your dental care?* This field is required.I’ve tried other solutions, but they haven’t worked, so I’m seeking something better.
I don’t have a regular dentist and am looking for a reliable solution.
My current dentist doesn’t offer same-day crowns, and I need a faster option.
I’m interested in the latest dental technology and want the most advanced treatment available.
I’ve been putting this off for a while and finally want to get it resolved.
I’ve tried other solutions, but they haven’t worked, so I’m seeking something better.
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What is the most important factor in your decision to get a dental crown today?* This field is required.
Affordability is my top priority – I’m looking for a cost-effective solution.
I need the fastest solution – getting it done in a single visit is most important to me.
Convenience matters – I’m looking for a location that’s easy to reach and a hassle-free process.
All of these factors are equally important to me.
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Which of these statements best describes you?* This field is required.I’ve tried other solutions, but they haven’t worked, so I’m seeking something better.
I like to thoroughly evaluate options before committing.
How quickly can we complete this treatment?
I’m flexible, let’s work together to find the best approach.
I’d like to share my thoughts and ideas before starting.
9
When would be a convenient time for your appointment?
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Email* This field is required.
example@example.com
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Please enter a valid phone number.
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