Q 1/10

Type(s) of lasers you possess:

Diode

Yes

No

Q 1/10

Is it used in hygiene?

Yes

No

Q 1/10

Type(s) of lasers you possess:

Solea

Yes

No

Q 1/10

Type(s) of lasers you possess:

Waterlase

Yes

No

Q 1/10

Type(s) of lasers you possess:

Lightwalker

Yes

No

Q 1/10

Type(s) of lasers you possess:

VersaWave/DELight

Yes

No

Q 1/10

Type(s) of lasers you possess:

Other Brand

Q 2/10

How many days a year does a full time dentist work in your practice? *

Q 3/10

How Many Full-Time Doctors Are In Your Practice? *(Example: If you have 1 full-time dentist and an associate that works half of the day, you would type 1.5)

Q 4/10

What is your annual average collections over the last 3 years? **Please do not give production. Collections will give you a better understanding of your practice’s well-being. *Don’t give us your best or worst years, do your best to enter a rolling average to get a more accurate calculation

Q 5/10

What is your current active patient count (active in the last 18 months)? *

Q 6/10

How many new patients do you average per month? ** Don't give us your best or worst months, do your best to enter an average to get a more accurate calculation

Q 7/10

What does your office schedule for a single Class V prep in minutes? *

Q 8/10

What does your office schedule for a single Class I prep in minutes?

Q 9/10

If you were to estimate, on average, how many of each of these procedures do you do a month?

* Do your best to provide monthly averages. A detailed report can be performed later from actual data from your practice management software.

Fibroma *

Frenum (Maxillary, Mandibular & Lingual combined)

Operculum

Gingivectomy/plasy

Q 10/10

Are you currently treating snoring or sleep?

Yes

No

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