Question 1
What feels most important to you right now?
Pick the one that feels most true.
🦴
Long-term oral health
Prevent future problems and preserve bone/structure.
🛡️
Stability & function
Reduce movement, discomfort, or day-to-day limitations.
🍎
Eating & nutrition
Chew comfortably and enjoy the foods you want.
🙂
Confidence & social comfort
Feel comfortable smiling, speaking, and being photographed.
Please choose one to continue.
Not a diagnosis — just helps us prepare your case summary accurately.
Question 2
Where is your main area of concern?
A simple selection helps a provider review your situation later.
⬆️
Upper
Mostly the top teeth.
⬇️
Lower
Mostly the bottom teeth.
↕️
Both
Both top and bottom.
❓
Not sure
That's okay — we'll help you figure it out.
Please choose one to continue.
This helps with context only. An exam/scan determines the real plan.
Question 3
Which picture looks most like your situation?
Choose the closest match. (You can be approximate.)
🦷
Just one tooth
Missing or about to lose a single tooth.
🦷🦷🦷
A few teeth in a row
Missing several teeth side-by-side.
😁
All teeth on the top, bottom, or both
Missing most or all teeth in an arch.
❔
Not sure / need help figuring it out
No problem — we'll clarify it during review.
Please choose one to continue.
If you're unsure, choose "Not sure" — that's a valid answer.
Question 4
Have you ever been told your situation might require additional planning?
This could include extractions, bone grafting, or complex history.
✅
No / not that I'm aware of
I haven't been told my case is complex.
🟡
I'm not sure yet
I don't have enough information to know.
🧩
Possibly — more complex
I've been told it may require additional planning.
Please choose one to continue.
This helps us understand if additional specialists might be involved.
Question 5
How would you prefer to handle the investment if treatment made sense?
There's no right answer — this just helps with coordination.
💳
Pay in full
I'm prepared to handle the full investment.
📆
Financing / monthly payments
I'd prefer a payment plan if available.
❓
Not sure yet
I need to understand more before deciding.
Please choose one to continue.
Many options exist — this just helps us prepare the right resources.
Question 6
If everything checked out, what would you most likely want to do next?
This helps us understand your intent.
📞
Schedule a consultation
I'd want to speak with someone and take next steps.
🗂️
Review options and pricing
I'd like a clearer picture before scheduling.
📚
Learn more before deciding
I'm researching and not ready for steps yet.
Please choose one to continue.
There's no pressure — all answers help us serve you better.
Question 7
When are you hoping to move forward?
Timing helps us prioritize correctly.
⚡
ASAP
I'd like to move quickly if it makes sense.
📅
Within 1–3 months
Soon, but I'm planning a bit.
🔍
3+ months / researching
I'm gathering info and exploring options.
Please choose one to continue.
Your timeline is flexible — this just helps with coordination.
Question 8
Have you already spoken with a dentist about implants?
This is just to understand where you are in the process.
✅
Yes
I've had a conversation or consultation already.
🗂️
Not yet
I'm early in the process and evaluating next steps.
Readiness Preview
High Readiness
Please choose one to continue.
🔒 Your answers are used only to prepare your review. Nothing is shared without your consent.