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AllCare Orthodontic Center New Year, New Smiles $400 Off Angel Aligners Treatment Registration
Contact us at (312) 804-8304 or
allcareortho@gmail.com
Office Location: 842 W. 31st Street, Chicago, IL 60608
Website:
www.AllCareOrthodonticCenter.com
Facebook page:
https://www.facebook.com/AllcareOrthodonticCenter
Instagram:
https://www.instagram.com/allcareortho
WeChat ID: allcareortho
小红书 ID: 618804650
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Email
*
Your email
Complete this online registration by January 31, 2024 to enjoy $400 off full comprehensive orthodontic treatment with the innovative Angel Aligners.
With a 20-year legacy, Angel Aligners have earned the trust of professionals and patients creating over 1 million* smiles.
(Note: The special promotion offer cannot be combined with other discount or offer.)
凭借 20 年的历史，Angel Aligners 赢得了专业人士和患者的信任，创造了超过 100 万个的微笑
Age
*
under 18
19 - 29
30 - 39
40 - 49
50 and above
Required
How do you hear about AllCare Orthodontic Center?
*
My dentist/oral hygienist
My friend/family member
Online search (i.e., Google, Bing search)
Social media (i.e. Facebook, Instagram, WeChat 微信, 小红书)
Walking/driving by on the street
Insurance company provider listing
School/community events
Other:
Required
Have you checked AllCare's online reviews on any of these sources? (check all applied)
*
Google page (
http://tinyurl.com/4ryaz9ek
)
Facebook (
https://www.facebook.com/AllcareOrthodonticCenter/reviews
)
Yelp (
https://www.yelp.com/biz/allcare-orthodontic-center-chicago
)
Birdeye (
https://reviews.birdeye.com/allcare-orthodontic-center-521335168
)
Other
Required
Are you happy with your teeth and bite?
*
Yes, absolutely.
Kind of. My teeth alignment and bite are not perfect, and need improvement.
Not really.
If answer is "Kind of" or "Not really", would you consider orthodontic treatment for a better smile?
Yes
No
Clear selection
If the answer is "yes" to the above question, how soon would you like to start looking for an orthodontic provider?
within 3 months
within 6 months
within 12 months
a year or two later
Undecided. Depend on my financial status.
Clear selection
What are your main concerns about starting orthodontic treatment? (check all applied)
*
Treatment costs
Treatment time/length
Treatment plan involved with extraction
Providers that understand my needs
Dietary restrictions during the treatment
Compliance with treatment
Convenience in terms of scheduling and location of the dental office
Appliance choices (e.g., braces or clear aligners)
Required
Would you be interested in a free consultation with our board certified orthodontic specialists and enjoy a free 3D smile simulation?
*
Yes
No
Which language do you feel most comfortable to use when communicating with the doctors and assistance?
*
English
Chinese
Spanish
Indonesian
Thai
Other:
What time during the week works the best for you?
*
Monday afternoon
Tuesday morning
Tuesday afternoon
Wednesday morning
Wednesday afternoon
Thursday afternoon
Friday morning
Friday afternoon
How would you like us to contact you?
*
Phone call
Email
Text message
Other:
Required
Your name
*
Your answer
Your email
*
Your answer
Please enter your phone number if you prefer AllCare to contact you via phone or text message.
Your answer
Thank you for your time in filling out AllCare New Year New Smile Registration Form!
We look forward to delivery a healthy and attractive smile to you.
Wish you a fabulous day!
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