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Why you would you like to straighten your teeth? *

I want to feel more confident
I want to improve my appearance
I think it is important for my career
I think it is important for my oral health
It's for a special occasion
Other

How old are you? *

20 and over
18 - 19
Under 18

What is your main concern? *

Crowded teeth
Overbite
Crossbite
Spaced teeth
Underbite
Open bite

Have you seen a dentist in the past 18 months? *

Yes
No

Help us find a clinic near you *

Have you worn braces or aligners before? *

Yes
No

Do you have a fixed wire retainer on the back of your teeth? *

Yes
No

Would you like a phone consultation from Selfie? *

Weekday morning
Weekday afternoon
Weekday evening
Weekend morning
Weekend afternoon
Weekend evening
No, I'll contact you on Line

We just need a little more information.

First Name *

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July Promotion!
Free dental consultation

(valued 2,690.-) and 10,000 THB discount on Selfie Aligner Kit*

*only at selected clinics

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