Braces-Friendly Cookbook Survey
Thank you for taking the time to share your insights. 

At the conclusion of this survey, you'll receive your FREE Braces-Friendly Food Guide PDF.

If you have any questions, please feel free to reach out to me directly at biteandbeam@gmail.com
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What's your name?  *
First and last
What's your email? This is the email we will use to send you your "Free Braces-Friendly Food Guide" PDF. *
What's your role within the practice?
What is your estimated "child to adult patient split" for your practice(s)? *
Eg. 70% children and 30% adults
What is the size of your practice? *
If you have an OSO or DSO affiliation, which one?

What are the top challenges your braces patients face with diet and nutrition while wearing braces?

 *
Regarding your braces patients' challenges, what type of content would you like to receive more of?
 *
Eg. "Eat this not that" guides, recipe ideas, nutrition advice, patient care tips, etc.
How do you currently provide dietary advice to patients? *
Required
How often do you recommend dietary adjustments to your patients?
 *
How interested would you be in a cookbook specifically designed for patients with braces that would come custom branded with your practice logo? *
Would you prefer a digital or physical copy of the personalized cookbook?
 *
Would you be interested in the personalized cookbook as an annual subscription updating with seasonal recipes for patients with braces? *
Is there anything else you'd like to share?
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