Invisalign^® Smile Assessment

Thank you for taking our Invisalign^® Smile Assessment. While it is not a replacement for a personal consultation with Dr. Ahmed Badawy, it does allow us to share some smile insights with you. Our goal is to use your answers to determine whether or not Invisalign is right for your smile.

Please answer each of the questions below and expect to hear back from a member of our team before the end of the next business day.

Name

Phone Number

Email Address

What is the primary reason you are interested in Invisalign?

Straightening my teeth

Closing a space or spaces between my teeth

Eliminating crowding or overlap in my smile

Getting my top teeth and lower teeth to function better

Other

Is there anything else about your smile you would like to improve?

Yes No

If yes, please tell us more:

Have you ever had braces before?

Yes No

Have you ever had other restorative dental work done such as crowns, bridges, dental implants, root canals or porcelain veneers? Yes No

How old are you?

What questions or concerns do you have about starting this treatment? (you may select more than one answer)

How much will it cost?

Will it hurt?

How often do I have to go to the dentist during treatment?

Are there other options that are better or less expensive?

Other

Where are you in the process of making a decision?

I am just starting to look around and check-out my options.

I am doing research for a loved one.

There is a special event motivating me to get a “perfect” smile.

I have met with other dentists and am looking for a 2nd opinion.

I am ready to get started now.

Invisalign® Smile Assessment

Invisalign^® Smile Assessment