Could Anastasia Work For You?

Please fill out our survey to determine what Anastasia could do for your practice. You could be eligible for a FREE 30 MINUTE TELECONFERENCE WITH ANASTASIA!!!

Is your patient’s perception of your hygiene appointment viewed as "Just a Cleaning"?	Yes No
Is your perception of your hygiene department’s services viewed as "Just a Cleaning"?	Yes No
Would your hygiene team’s perception of their services be viewed as "Just a Cleaning"?	Yes No
Are you utilizing your hygiene team to their full potential?	Yes No
Below are the Top 5 Screenings within hygiene. Click the screenings you currently provide for each patient. Blood Pressure Recording Oral Cancer Screening Periodontal Recording Malocclusion Assessment Caries Risk/Product Protocol
6) Ever consider implementing assisted hygiene?	Yes No
7) Want to take your hygiene department from dormant to dynamic?	Yes No

A Few Details Before Submitting the Answers...

Your Practice Name	Required
Your Name	Required
City/ State	Required
Phone Number	Required
Email Address	Required