Did your lab cause any delays, lateness, or scheduled issues this week? *

No delays this week

1 case ran late

2-3 cases ran late

4+ cases caused delays

How many times did you have to follow up with your lab this week? *

0

1

2-3

4+

How consistent is your lab’s quality? (1 = unpredictable, 10 = rock-solid every time) Set the scale 1-10

• 1
• 2
• 3
• 4
• 5
• 6
• 7
• 8
• 9
• 10
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How many remakes or adjustments did your lab cause this week? *

0

1

2-3

4+

How confident are you that you're getting fair pricing from your lab? *

Very confident

Somewhat confident

Not confident

I have no idea

If you could improve ONE thing about your lab instantly, what would it be? *

Faster turnaround

Lower cost

More consistent quality

Fewer remakes

Better communication

No hidden fees

Accepts impressions + digital

More reliable delivery

Full Name *

Phone *

Email *

Clinic Address *

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