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1. What dental challenges are you currently facing?*
2. How has this issue affected the quality of your daily life? (Select all that apply)*
3. Have you consulted with another doctor about your dental implant options?*
4. Which is most important to you when it comes to replacing your teeth? (Select all that apply)*
5. Dental insurance generally only helps with a small portion of dental implant treatments. Have you thought about how you’d like to handle the investment to move forward with treatment?*
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