✨ Your perfect smile awaits! ✨
Lets get started.
What's your first name?
What's your last name?
What gender do you identify as?
When's your birthday?
(Only so we can send you something nice on your special day 🎁)
How often do you brush your teeth?
What kind of toothpaste do you use?
Do you floss?
Does drinking ice water or eating ice cream hurt your teeth?
Do you have sensitive teeth?
Do teeth whitening products usually cause you pain?
Do you have any cavities or have you recently had cavities filled?
Do you grind your teeth?
Do you have any gum infection or inflammation we should know about?
How often do you eat or drink foods that stain your teeth?
Examples include coffee, red wine, marinara sauce (aka all the good foods 😫)
Do you smoke cigarettes or cigars?
What shade is your teeth currently?
How did you first hear about us?
Are you redeeming a giftcard?
What's your email
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