How Was Your GBT Cleaning?

1. Question 1 of 7

   How did you find the overall treatment experience?

   Unpleasant

   1 2 3 4 5

   Pleasant

2. Question 2 of 7

   How useful did you find the biofilm disclosing (the colored dye that shows where plaque is)?

   Useless

   1 2 3 4 5

   Useful

3. Question 3 of 7

   How did your teeth feel after the cleaning?

   Rough or gritty

   1 2 3 4 5

   Completely smooth

4. Question 4 of 7

   How was the time spent on the cleaning?

   Excessive

   1 2 3 4 5

   Appropriate

5. Question 5 of 7

   How likely are you to recommend Guided Biofilm Therapy to a friend or family member?

   Not at all

   1 2 3 4 5

   Definitely

6. Question 6 of 7

   Compared with traditional cleanings, how would you rate this method?

   Worse

   1 2 3 4 5

   Better

7. Question 7 of 7

   How would you rate the pain or discomfort during the treatment?

   More than usual

   1 2 3 4 5

   None

8. Optional

   Did you experience any pain or discomfort? If so, where?

   During pocket probing During AIRFLOW® cleaning During PIEZON® scaling No discomfort at any point
9. Optional Anything else you'd like us to know about your visit?
10. Optional Your name
11. Don't fill this out if you're human:

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