Free 30-Second Smile Assessment Quiz
Take our 30-second quiz to find out if Braces, Aligners, or Invisalign is right for you.
Patient's Name
(Required)
First
Last
Date of Birth
(Required)
What is your smile transformation goal?
(Required)
Gain confidence and straighter teeth
Fix a spacing/gap issue
Fix a crowding issue
Fix a bite problem
Fix breathing issues
Have you worn braces or invisible aligners in the past?
(Required)
Yes
No
Which smile looks similar to yours/your child's?
(Required)
Underbite
Overbite
Open Bite
Crossbite
Gapped Teeth
Crowded Teeth
What’s your biggest question about treatment?
(Required)
Can I afford it?
How long does it take?
What will the end results look like?
Do I have time to complete treatment?
Where are you in your journey for a new smile?
(Required)
We just started our research and I have questions.
The dentist said braces were needed and now looking for the right orthodontist.
Ready to get started.
Would you prefer to have your consultation in person at our Seguin, San Marcos or a virtual consult with Dr. Colville?
(Required)
Seguin, TX
San Marcos, TX
Virtual Consultation
Tell us where to send your results. (Email Address)
(Required)
Phone
(Required)
Any optional comments you would to share?
60164
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