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Do you have a panoramic X-ray?
Yes
No
Have you ever visited Albania?
Yes
Not yet - though looking forward to it
What is the dental service you are most interested in?
Implants
Dental Filling
Dental Crowns
Aesthetics of the Face
Teeth Whitening
Orthodontics
Surgery
Inlay-Onlay
Invisible Aligners
Tooth Removal
Veneers
Not sure
Which of the following perks appeals to you the most?
All-inclusive accommodation by the beach
Chauffeuring services
Tours & adventures
All of it!
Do you have any allergies or medical conditions that our clinic should be aware of?
Yes
No
What is your total budget for dental treatment?
£1,000 - £5000
£5001 - £10000
Over £10,000
Which of the following payment terms would you prefer?
One full payment
Deposit + 2 instalments
Deposit + 3 instalments
Lastly, we just need some key details to help
provide
the most suitable & effective proposal
Yes, I would like to receive further updates about Holidental.
Yes, I agree with the Privacy Terms & Conditions.
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