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Teeth Whitening Feedback Form
A whitening feedback template — gauge the result, comfort and shade improvement, and gather reviews.
Description
Form fields
Everything the Teeth Whitening Feedback Form above collects — 11 fields, so you can see exactly what it captures before you make it your own.
How's Your Smile?
Your name
Name
Email address
Date of your visit
Short Answer
How happy are you overall?
Dropdown
How much whiter are your teeth?
DropdownWas the treatment comfortable?
Yes/No
Would you recommend us to a friend?
Yes/NoWhat did you love most?
Long Answer
Anything we could have done better?
Long AnswerHappy for us to share your words as a review? If so, how should we credit you?
Long AnswerI'm happy to be contacted about my treatment
Consent
No credit card-
Unlimited forms
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Unlimited results
Template FAQs
Common questions about the Teeth Whitening Feedback Form — what it captures, when to use it, and how to make it your own.
When should I send whitening feedback?
A few days after the appointment, while the client is still enjoying their brighter smile. That timing captures their happiness and gives an honest read on how the result settled.
Why ask how much whiter their teeth look?
Because it’s an honest measure of the result, separate from overall happiness. It tells you plainly whether your treatment is delivering visible change and flags if expectations weren’t met.
Why ask if the treatment was comfortable?
Because comfort matters for a repeat booking — sensitivity can put people off. Asking directly tells you whether your approach is keeping clients comfortable.
Do clients have to leave their name?
No — name and email are optional, so clients can be candid, and even anonymous feedback helps you improve.
How does it help with reviews?
It asks, at the right moment, whether clients are happy for their words to be shared and how they’d like to be credited — turning a delighted reply into a review you can publish.
Is the feedback form free?
Yes. It’s free with a Fun Forms account, fully brandable, and ready to send as a link after each appointment.
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No credit card
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Unlimited forms
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Unlimited results
