What brings you in today?
Routine cleaning & exam
Tooth pain or dental emergency
Cosmetic dentistry
Invisalign / clear aligners
Not sure — I’d like a recommendation
Are you currently experiencing any discomfort?
Yes, I’m in pain
Some discomfort
No pain at the moment
When was your last dental visit?
Within the last 6 months
6–12 months ago
Over a year ago
I’m not sure
When would you ideally like to come in?
As soon as possible
Within the next 1–2 weeks
Within the next month
Just gathering information for now
What type of help are you looking for today?
Scheduling an appointment
Learning more about treatment options
Understanding pricing or insurance3
Not sure yet — I’d like guidance