This Chair Time Intake takes 2-3 minute's to complete, and helps us curate and personalize a demonstration to your needs, based off your specific dental practice.

Full Name *

Your Role *

Owner / Partner
Office Manager
Clinical Lead
Admin / Coordinator
Other
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Help us tailor recommendations to your responsibilites.

Email *

We’ll send your audit summary and confirmation here.

Phone *

Used only to confirm your Chair Time Recovery Call.

Practice Name *

So we can cross-check your website and current patient journey.

Practice Website

Optional, but helps us review your online patient experience.

Operatories / Chairs *

1-3
4-6
7-10
10+
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Roughly how many active chairs you run on a typical day.

Front End Challeneges *

Frequent No Shows

Constant Follow-Up Backlog

Overflowed Front Desk

Using Automation But Not Optimized

Missed Calls

Looking Into AI but Unsure Where to Start

Select all that apply — this shapes how we design your sprint.

Average No-Shows / Week *

0-3
4-7
8-12
13+
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An estimate is fine — it helps us calculate recoverable chair time.

Are you actively looking to improve your schedule in the next 30–60 days? *

Yes, urgently

Yes, but I'm gathering info

Maybe, depends on ROI

Not right now

This helps us prioritize practices that are ready to act on the audit.

What’s the #1 issue you'd like to fix first?

If there’s one thing we absolutely shouldn’t miss, add it here.