What is your main reason for considering porcelain veneers? *

To improve the appearance of my teeth

To address chipped or cracked teeth

To close gaps between my teeth

To improve the colour of my teeth

Have you had any previous cosmetic dental treatments? *

Yes, I’ve had cosmetic dental treatments in the past

No, this would be my first cosmetic treatment

Are you currently experiencing any dental issues, such as cavities or gum disease? *

Yes, I have active cavities or other dental concerns

Yes, I have a history of dental issues but no active concerns

No, I don’t have any dental issues currently

Not sure

Are you familiar with the cost range of porcelain veneers? *

Yes, I have a general idea of the cost range

I have a rough idea of the cost

No, I’m not sure about the cost

I would like more information

How would you like to pay for your porcelain veneers treatment? *

Savings or Personal funds

Payment plan options

Health fund

Superannuation

How well do you understand the tooth preparation involved in porcelain veneers (e.g., minor enamel adjustment)? *

I have a clear understanding of the process

I have limited information about it

I am not familiar with the process

Are you aware of the aftercare required for porcelain veneers? *

Yes, I am aware and comfortable with the aftercare process

Yes, I am aware but would like more information on the aftercare process

No, I am not familiar with the aftercare requirements

I would like to learn more about the aftercare process

How do you feel about the longevity of dental treatments like veneers? *

I’m comfortable with the longevity and maintenance required

I have some concerns about the longevity of veneers

I’m unsure of how long veneers last

I’m not sure what is involved in maintaining veneers

Are you open to attending regular check-ups during the porcelain veneers treatment? *

Yes, I am happy to attend regular check-ups

Yes, but I would like to know more about the check-ups

No, I’m not interested in regular check-ups

When would you like to start your porcelain veneers treatment, if suitable? *

As soon as possible

Within the next 1–3 months

Within the next 3–6 months

Later this year

A Few Details About You

Thank you for completing the survey. To help us recommend the most suitable porcelain veneer options for you, please provide your contact details below.

First Name *

Last Name *

Phone *

Email *