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Let’s Grow Your Dental Practice

Answer a few quick questions so we can understand your practice and show you how DentBooked can help you get more patients and grow revenue.

1. What’s your primary goal right now?

How would you like us to help you?

(Select all that apply)

Get more new patients Attract higher value cases (Invisalign, implants, cosmetic, etc.) Get more consistent bookings Improve ROI from marketing Other:

2. Which best describes you?

I own a single dental practices I own a multiple dental practices

3. Do you currently have a website?

Yes No

4. How would you describe your current new patient flow?

Not enough new patients Some patients, but inconsistent Plenty of patients, but low-quality cases

5. What’s your biggest growth challenge right now?

Not enough leads Leads, but low show rates Leads, but low production per patient Spending on ads without results

6. Are you currently investing in marketing?

Yes, consistently Occasionally Not yet, but open to starting

7. Are you currently running paid ads?

Yes No Not sure

8. Average monthly marketing budget:

Less than $1,500 $1,500 – $3,000 $3,000 – $7,000 $7,000+

9. Average monthly revenue/production:

Less than $50,000 $50,000 – $100,000 $100,000 – $200,000 $200,000+

Full Name

Work Email

Phone Number

Dental Practice Name

Dental Practice Location

11. When a new patient calls your practice, how would you rate your front desk experience?

Do your receptionists sound warm, confident, and friendly?

Scale (1–5):

21. Anything else you’d like us to know?

Dentbooked

Hello world!

Services

Company

Contact Info

Phone

Email

Office