Are you able and willing to travel to Phoenix, AZ? *

Yes

No

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Have you had a dental implant consultation before? *

This will be my first consultation.

Yes, but the treatment was too expensive.

Yes, but I didn’t trust the dentist.

Yes, but I didn’t feel comfortable moving forward.

Since dental implants aren’t covered by insurance, how do you plan to cover the cost of your treatment? *

I’ll pay using my personal savings.

I’ll finance it (I have a credit score of 620 or higher).

I don’t have enough savings or credit to proceed at this time.

How Ready Do You Feel To Do Something About Your Situation? *

Somewhat Ready

Very Ready

I Need Something FAST!

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What's your Best Email? *

What's Your Best Phone Number? *

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