Smile Survey
Please help Dr. Robin get to know the person behind the smile...
1. How important is it to keep your teeth for LIFE?
2. Is there anything you would change about your TEETH?
3. Do you have problems with chewing or with pain in your mouth?
4. Have you had a bad dental experience in the past?
5. Does your smile reflect the "REAL" you?
6. Do you have any special occasions coming up?
7. If I had a MAGIC wand & gave it to you, would you change your smile for that occasion?
8. Would you be interested in looking younger & more attractive? |