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Required Fields
Name:
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Customer Number (If Known):
Dental Practice Name:
Telephone:
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Fax Number:
Email:
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Specialty:
Oral Surgeon
General Practitioner
Periodontist
Prosthodontist
Endodontist
Implantologist
Student
Laboratory Technician
Faculty
Other
Which Implant Direct products are you currently using? (
Select All That Apply
)
ScrewPlant Family
ScrewPlus Family
ScrewDirect Family
ScrewIndirect Family
ScrewRedirect Family
Legacy Family
RePlus Family
RePlant Family
ReActive Family
SwissPlant Family
GoDirect Family
Implants Only (Select Family)
Prosthetics Only (Select Family)
Surgical Instruments/Tools
No purchases yet
What is your Primary implant/prosthetic system?
Implant Direct
NobelBiocare
Straumann
3i
Zimmer
Friadent
Astra
Lifecore
BioHorizons
Other
How long have you been using Implant Direct's products?
< 6 Months
6 months - 1 Year
1 - 2 Years
2 - 3 Years
Please rate the following statements regarding our overall level of performance:
Disagree
Neutral
Agree
N/A
1
2
3
4
5
Implant Direct has a broad line of Dental Implant Products
Implant Direct's web site is intuitive and easy to navigate
Implant Direct's cost effective approach to implant dentistry is the reason I started using the product line.
It has been easy to incorporate Implant Direct's Application specific products into my
Nobel
based practice
It has been easy to incorporate Implant Direct's Application specific products into my
Zimmer
based practice
It has been easy to incorporate Implant Direct's Application specific products into my
Straumann
based practice
I find Implant Direct's prosthetics easy to understand and use
My Implant Direct contact is knowledgeable and offers solutions to accomplish my goals
I would recommend Implant Direct to my colleagues
Our online step-by-step surgical and prosthetic videos are informative and easy to navigate
My calls to Implant Direct's Customer Service Center have been answered promptly
My orders placed over the phone have been accurate
What percentage of the implants placed in your practice are from Implant Direct?
%
Which of the following has had a positive impact on your decision to work with Implant Direct? (
Check all that apply
)
Website
Marketing Material/Mailing
Journal/Magazine Advertisement
Trade Show Booth / Representatives
Meeting / Presentation with Implant Direct Representative(s)
Calls from Technical Sales Department
Attended an Implant Direct lecture
Referral from a colleague:
Are there any additional products that you would like Implant Direct to provide?
Please tell us if there is anything that we could be doing to improve our overall service.