Teeth Whitening Consultation Form

The right whitening approach depends on where a client is starting from and what’s causing their staining, and this consultation form draws both out. It asks how they’d describe their teeth now, what they think is causing the discolouration — coffee, red wine, smoking, age — and how bright they’d like to go. Understanding the cause of staining shapes honest advice. Surface stains from coffee and wine respond well, while deeper, age-related or medication-related discolouration behaves differently, so knowing the likely cause lets you recommend the right treatment and set realistic expectations. A question about existing sensitivity helps you plan a comfortable approach, and an open goals field captures what a brighter smile means to them. Use it to recommend the best route for each client rather than a one-size-fits-all session. It’s free, brand-styled, and positions you as the expert who tailors the treatment.