White Plains Dentist » Cosmetic Questionnaire Test Cosmetic Questionnaire Test Take the Cosmetic Dentistry Questionnaire Are you happy with your teeth and smile? Yes No Are your teeth as straight as you think they should be? Yes No Are there gaps between your teeth that you don't like? Yes No Are your teeth as white as they should be? Yes No Do you like the shape of your teeth? Yes No Are you aware of any teeth that are broken or chipped that require fixing? Yes No Are you interested in a payment plan option? Yes No Which best describes your credit? Very Poor Poor Good Very Good Excellent I Don't Know Based on your score, you may not qualify without a co-signer. Do you have one? Yes No Unfortunately, it looks like you would not be able to qualify for our payment plans. Do you have another way to pay? Savings Credit Card Retirement Account Other Loan Help from a Relative No, I don't Previous Next
