What’s Your Status?

The contact section at the bottom of this page is Optional. If you choose not to fill in that section, I would still appreciate receiving your survey responses. If you do choose to fill in the Optional section, I promise that I shall never share any of your contact information without your written consent, I’ll not pressure you and I’ll never contact you unsolicited.

My current status is

I’m a student graduating in

I’m now associating.

I’m an established practitioner.

My current lease expires in

My specialty is:

Generalist

Pedodontist

Orthodontist

Prosthodontist

Endodontist

Periodontist

Oral Surgeon

Other

I need negotiation help with:

First office

Another office

Relocation

Expansion

Renegotiation

Purchase

My timing is:

Immediate

6 mos

12 mos

18 + mos

My search status is:

I haven’t started yet.

I’m looking for space.

I’ve found a space.

I have a rental proposal.

How I learned about George Vaill:

Dentaltown Message Board

A friend told me.

A dental rep or consultant told me.

I saw one of his ads in:

Dentaltown Magazine

Dental Economics Magazine

The Profitable Dentist Newsletter

I did a search on the web.

The phrase I typed in was:

I found a link on another site.

Optional

I wish to avoid costly errors in my lease negotiation. Please call me immediately at:

Work

Cell

Home

Other

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