Are Implants Right For You?Take our Implant questionnaire!1. What is your primary dental concern?*PainChipped or cracked toothMissing a single toothMissing multiple teethIssues with denturesMultiple concerns2. How long has this been an issue?*1-4 weeks1-3 months3-6 months6-12 monthsOver 1 year3. What is the time frame you would like to receive dental treatment if it is within your budget?*I'm just researchingImmediatelyWithin the next 4 weeksWithin the next 3 monthsWithin the next 12 months4. Do you have Dental Insurance?*YesNo4b. If you do not have dental insurance, are you in need of financing?*YesNo5. Have you had a previous consultation with a dentist regarding dental implants?*Yes, I’d like a second opinionNo, this will be my first consultation6. Click and drag options to rank your concerns about finding an implant dentist.Seeing a dentist close to homeMost affordable optionMonthly payment arrangements availableQuality dental careGetting the best patient experience availableThe dentists' experience in implant dentistryA highly rated practice7. When is the best time of day to contact you Monday thru Friday?*8 am-10 am10 am-12 noon12 noon-2 pm2 pm-4 pmName* First Last Cell Phone*Email* Zip Code* ZIP Code