Orthodontic Interest Questionnaire Question Title * Practice Name Question Title * Your Name First Name Last Name Question Title * Your Role in the Practice Question Title * What types of marketing does your Practice do for orthodontics? Internal Marketing to our patients TV Radio Print (Newspaper, magazine, etc.) Social Media Google Ads Mailers Live Events None of the above Website Other (please specify) Question Title * How effective to do feel your current orthodontic marketing is? Not at all effective Somewhat effective Very effective N/A (no marketing currently) Not at all effective Somewhat effective Very effective N/A (no marketing currently) Question Title * How do you think your marketing could improve? Question Title * How well do you feel your orthodontic consultations go? Not very well Needs improvement Just OK Good Excellent and smooth Not very well Needs improvement Just OK Good Excellent and smooth Question Title * What is your approximate percentage of consultations that move forward with treatment? 0% 100% Clear i We adjusted the number you entered based on the slider’s scale. Question Title * What would need to be true to make consultations go more smoothly, and have a higher acceptance of treatment? Question Title * How clinically confident are you in orthodontics? Not confident at all Very little clinical confidence Moderate clinical confidence Somewhat clinically confident Very confident clinically Not confident at all Very little clinical confidence Moderate clinical confidence Somewhat clinically confident Very confident clinically Question Title * Have you taken any orthodontic CE courses? No, I haven't taken any orthodontic CE Invisalign series Powerprox series COS Implementation Seminars MTM training Six Month Smiles training Comprehensive Ortho Continuum Other (please specify) Question Title * What areas do you feel that training is needed to improve your clinical confidence? Question Title * Where are the bottlenecks in your current daily patient schedule? Question Title * Do you have daily or hourly production goals? Yes No I'm not sure Question Title * What is one key result you would like to see after COS Consulting visits your Practice? Question Title * Enter Promo Code Done