Smile Assessment

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How would you rate your smile on a scale of 1-10?

DISSATISFIED SATISFIED

How would you rate your smile on a scale of 1-10?

DISSATISFIED SATISFIED

Have you had any cosmetic treatment in the past?

Choose the option that best describes your biggest concerns with your smile

Are you currently undergoing any dental treatment or have any oral health issues?

Are you suffering from broken, chipped or crooked teeth?

Are you embarrassed about smiling in front of people?

Do you ever put your hand up to cover your smile?

Do you have crooked, misaligned or off centered teeth?

Are you happy with the way your smile looks?

Do you wish your teeth were whiter?

Do you dislike your smile in photographs?

Do you have gaps or spaces between your teeth?

Are you considering braces for that perfect smile?

Would like to change the way your teeth or gums are shaped?

What, if anything, would you like to change about your teeth?

Do you show your gums when you smile?

Do you have missing teeth?

Are you aware of the new techniques in cosmetic dentistry?

How would you rate your smile on a scale of 1-10?

How would you rate your smile on a scale of 1-10?

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