What's your name?

Let’s get to know each other 😊

What gender do you identify as?

.

When's your birthday?

(Only so we can send you something nice on your special day 🎁)

How often do you brush your teeth?

.

What kind of toothpaste do you use?

.

Do you floss?

.

Does drinking ice water or eating ice cream hurt your teeth?

Do you have sensitive teeth?

.

Do teeth whitening products usually cause you pain?

.

Do you have any cavities or have you recently had cavities filled?

Do you grind your teeth?

.

Do you have any gum infection or inflammation we should know about?

How often do you eat or drink foods that stain your teeth?

Examples include coffee, red wine, marinara sauce (aka all the good ones 😫)

Do you smoke cigarettes or cigars?

.

Click the color that most closely matches your teeth shade.

How did you first hear about us?

.

Are you redeeming a giftcard?

.

What's your email

Enter a password to view your results