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무료 상담 치과 임플란트 설문지

Personal Information

1. How did you hear about us?
Friend / Family
Google AD
Facebook
Online Search
Social Media
Other

Your Dental Concerns

Please choose the dental service you're interested in
2. What brings you in today? (Check all that apply)
3. How long have you had this concern?
Less than 1 year
1 ~ 3 years
Over 3 years
4. Have you had dental implants before?
Yes
No

Health Information

5. Do you have any medical conditions we should know about (e.g., diabetes, heart disease)?
Yes
No
6. Do you smoke or use tobacco? *
Yes
No

Goals and Questions

7. What’s your main goal for dental implants?
Chew better / Eat comfortably
improve my smile
Replace dentures
10. When are you wanting to start your treatment?
ASAP
Soon
I'm flexible
Not sure, I am still doing my research
11. Booking
I'll book now
Schedule after a phone consultation with consultant, skip the booking.
Schedule an appointment
2025년 5월
일월화수목금토
Week starting 일요일, 5월 4일
시간대: 협정 세계시 (UTC)비즈니스 위치
5월 5일 월요일
오전 10:00 - 오전 11:00
오전 11:00 - 오후 12:00
오후 12:00 - 오후 1:00
오후 1:00 - 오후 2:00

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 임플란트를 위한 3D 스캔을 받으세요
최첨단 기술을 무료로 경험해보세요!

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