Smile Questionnaire – Flower Mound, TX Experienced Orthodontic Care You Can Trust Full Name: * Email Address: * Phone Number: * Why do you want braces? *I want to have a better biteI want straight teethI have an event coming upI want a better looking smileOther Have you had braces or aligners in the past? *YesNo Next Which photo is closest to your teeth? *Overlapping / Crowded TeethSpacing / GapsExcess OverjetDeep OverbiteOpen BiteAnterior Cross BiteOther BackNext Do you have a preferred method of treatment? *Regular bracesLingual bracesClear alignersOther How soon do you want to start? *As soon as i can1 to 3 months3 to 6 monthsMore than 6 months Do you have a preferred timeline to end treatment? *Yes (please specify)No Back
