Welcome Please provide us with as much information as possible for us to give our best advice for your next project. CONTACT NAME*PRACTICE NAME*EMAIL* ADDRESS*TELEPHONE#*CITY/STATE or MUNICIPALITY/PROVINCE*WEBSITE URL*POSTAL CODE*YOUR SOCIAL MEDIA ACCOUNTS Please provide us with your username and password for the following accounts if you already have any set up. So we can access your accounts and post on your behalf.FACEBOOK USERNAMEFACEBOOK PASSWORDINSTAGRAM USERNAMEINSTAGRAM PASSWORDPRACTICE INFOWHAT PERCENT OF PATIENTS ARE INVISALIGN?HOW MANY NEW CONSULTS HAVE YOU DONE IN LAST 3 MONTHS?WHAT PERCENT OF PATIENTS ARE ADULTS VS KIDS?WHAT IS YOUR CLOSE RATE FOR CONSULTS OF NEW PATIENTS WHO ARE READY TO START?DO YOU WANT MORE ADULT PATIENTS?ON AVERAGE HOW MANY HYGIENE APPOINTMENTS ARE COMPLETED EACH MONTH?ON AVERAGE HOW MANY HYGIENE APPOINTMENTS ARE COMPLETED EACH MONTH?ARE ANY OF YOUR DOCTORS ACTIVELY TREATING INVISALIGN CASES? YES NO IF YES, HOW MANY ACTIVE CASES ARE YOU STARTING EACH MONTH?HOW MUCH WAS YOUR AVERAGE INVISALIGN CASE FEE?HOW MUCH DO ORTHODONTISTS IN YOUR AREA CHARGE FOR INVISALIGN?ABOUT BUSINESSSERVICES YOU PROVIDE TEETH WHITENING VENEERS CROWNS IMPLANTS DENTURES TOOTH EXTRACTION ROOT CANAL FULL MOUTH RECONSTRUCTION BONDING CLEANINGS SNORING TMJ PLEASE LIST ANY OTHER SERVICES YOU PROVIDEDO YOU HAVE A PHOTO RELEASE FORM Yes No LOCATIONS YOU PULL FROM AND/OR WANT TO PULL FROMDO YOU RUN GOOGLE AD WORDS OR FACEBOOK ADS? Yes No IF YES HOW OFTEN AND WHAT IS MONTHLY BUDGET?LIST 3 BIGGEST COMPETITORSWHAT ASSOCIATIONS/GROUPS ARE YOU AFFILIATED WITH OR A MEMBER OFWHAT ARE THE MAIN LOCAL WEBSITES/NEWSPAPERS IN YOUR TOWN/AREAHOW DO YOUR PATIENTS PREFER TO RECEIVE COMMUNICATIONS (list all that apply) Text Messaging Email Phone Call Other OtherDo you have a logo in a digital version? (If Yes Please send as separate attachment) If No Please upload below Yes No File UploadMax. file size: 512 MB.What type of in office promotional materials would you like to use to promote Invisalign in your practice? Brochures Flyers Posters Full Size Window Decal Custom Online video COMMENTS/NOTESCAPTCHA Δ
