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1.
On a scale of 10, how likely are you to recommend (0 = very unlikely, 10 = very likely) Invisalign treatment to your friends and family?
(Required.)
0
1
2
3
4
5
6
7
8
9
10
0
1
2
3
4
5
6
7
8
9
10
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2.
Please rate the below statements (1 = totally disagree, 5 = totally agree)
(Required.)
1
2
3
4
5
I don't know
I trust the Invisalign brand
1
2
3
4
5
I don't know
Invisalign treatment is superior to braces and brackets
1
2
3
4
5
I don't know
Invisalign treatment is good value (quality product and expert treatment) for money
1
2
3
4
5
I don't know
Invisalign treatment is superior to other clear aligner brands
1
2
3
4
5
I don't know
I believe the Invisalign brand is premium
1
2
3
4
5
I don't know
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3.
Please rate the following statements about your Invisalign consultation (1 = disagree completely , 5 = agree completely)
(Required.)
1
2
3
4
5
I don't know
I feel fully informed by my Doctor and inspired to start the treatment
1
2
3
4
5
I don't know
I feel confident my new smile after the Invisalign treatment will improve my confidence
1
2
3
4
5
I don't know
I feel confident I'll be able to achieve a straight, healthy smile
1
2
3
4
5
I don't know
I feel confident Invisalign is a safe, predictable treatment delivered by an expert
1
2
3
4
5
I don't know
The Doctor recognised and catered to my needs. I feel I'm in good hands
1
2
3
4
5
I don't know
I feel confident the treatment won't have a negative impact on my lifestyle (including dietary choices or physical activity)
1
2
3
4
5
I don't know
For the answers with a score below 3: what could your doctor or the Invisalign brand do to improve in this aspect?
4.
What aspect of your consultation were you particularly happy about?
5.
What aspect of your consultation would you like to see improved?
About you:
*
6.
Your gender?
(Required.)
Male
Female
Do not want to disclose
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7.
Your age?
(Required.)
18-24
25-34
35-44
45-54
55-64
65-74
75 or older
*
8.
I am looking for treatment for my child:
(Required.)
Yes
No
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9.
Would you have time for few more questions?
(Required.)
Yes
No