Form examples · Health & fitness · Assessment
Clear aligner suitability check
Screens aligner candidates before the consultation, so your chair time goes to people ready to say yes.
- Scored assessment with an honest verdict
- Result gated behind a lead-capture step
- Score and answers land in your inbox with an AI summary
Live demo. Nothing you type is stored.
Are clear aligners right for you?
Four questions before you book anything.
What bothers you most?
Braces earlier in life?
History
Aligners work 22 hours a day. Realistic for you?
Commitment
How is your dental health otherwise?
Dental health
Your result is ready. Where do we send it?
Aligner suitability
Great candidate. Book a free 3D scan
Cases like yours are exactly what aligners fix best, typically in 6 to 12 months. The free scan shows your projected end result before you commit to anything.
Likely, with a check first
Aligners probably work for you, but one detail needs a dentist’s eye. The 15-minute scan visit settles it, free either way.
Braces may serve you better
Complex bites often finish faster and cheaper with braces. Come in anyway. We will map both options with honest prices side by side.
— Behind the form
What happens after submit.
The visitor finishes
One question per screen keeps them moving. This example converts because the visitor gets a real answer, not a “we will call you”.
Your team gets the summary
Every submission arrives with a one-line AI summary and a buyer-intent score, routed to the right person on your team.
Your CRM stays current
The full answers, the summary and the score land in HubSpot, Salesforce, Pipedrive or a webhook. No copy-paste.
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— Free analysis
Is revenue slipping through the cracks? Let's find out.
Book a free 20-minute call with Daniel. We go through your website, social and automation together, so you see exactly where you are leaving money on the table.
Real talk, no fuss. No slide decks, no pressure to buy.