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1: What is the number one concern that you’re having with your teeth right now?
I'm missing 1-2 teeth
I’m missing more than 2 teeth
I want to get rid of my denture
I need to have 1 or more teeth removed
2: What has stopped you from fixing this problem?
I haven’t found a dentist I trust
I haven’t made the time
The solutions I’ve found are too expensive
3: What would be the biggest benefit if we could help you fix this problem?
I could smile with confidence again.
I could eat normally again.
My teeth wouldn’t hurt anymore.
4: If you could fit implants into your budget are you ready to start right away?
Yes
No
5: Are you interested in finding out if dental implants are a good option for you?
Yes
Not at this time
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Jackson Dentistry
1141 S Eustis St., Eustis, FL 32726
352-293-2800
Jackson Dentistry
1141 S Eustis St., Eustis, FL 32726
352-293-2800
© Copyright 2020 Jackson Dentistry. All rights reserved. -
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© Copyright 2020 Jackson Dentistry. All rights reserved. -
Privacy Policy
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