Zyris Clinical Feedback Participation

Question Title

* 1. Are you interested in participating in clinical feedback of Zyris new product ideas or product enhancements? We hope so!

Yes

Question Title

* 2. What is your role?

Dental Assistant

Extended Function Dental Assistant

Dentist

Hygienist

Speciality:

Question Title

* 3. List all that apply to your office

General Dentistry

Cosmetic Dentistry

Pediatric Dentistry

Orthodontics

Implant Surgery

Periodontics

Prosthodontics

Dental School

Other (please specify)

Question Title

* 4. Do you currently use an Isolation System? (check all that apply)

Isolite 3

Isolite Pro

https://cdn.shopify.com/s/files/1/0962/2948/products/12_iso3_standing_off-small_0.1_b9b98f68-cd09-4f9d-ab4d-71418c6209c2_large.png?v=1597763452

Isolite 2

Isodry

Isovac (your version could be white instead of grey)

Isolite Core

Dry Shield

Mr Thirsty

Releaf for Hygiene

Kona Adapter

EZ Dam by Synca

Other

Question Title

* 5. What Isolation mouthpieces do you use? (check all that apply)

Isolite Posterior Mouthpieces

Isoliate Anterior Mouthpieces

DryShield Autoclavable Mouthpieces

DryShield Single Use Mouthpieces

Mr. Thristy

Releaf (hygiene)

Synca EZ Dam

Other (please specify)

Question Title

* 6. What size mouthpieces to do order regularly?

Large

Medium DV

Medium

Small

Extra Small

Pediatric

Question Title

* 7. Do you currently use Isolite Anterior Mouthpieces?

Yes

Question Title

* 8. Do you currently use our Isolite Retractor?

Yes

I did not know about it.

Question Title

* 9. Do you currently use Optragate retraction?

Yes

No i use another kind of retractor (please specify)

Question Title

* 10. Where would parts for the evaluations be sent to?

Attn:

Practice Name:

Address:

City:

State:

Zip Code

Customer ID (if you know it)

Best Email to contact you at:

Question Title

* 11. What is the name of the person in your office who usually fills out the surveys? (In some cases, I have had problems connecting survey responses to the clinicians who are doing the evaluation and this information might help ;)

Zyris Clinical Feedback Participation

Question Title

* 1. Are you interested in participating in clinical feedback of Zyris new product ideas or product enhancements? We hope so!

Question Title

* 2. What is your role?

Question Title

* 3. List all that apply to your office

Question Title

* 4. Do you currently use an Isolation System? (check all that apply)

Question Title

* 5. What Isolation mouthpieces do you use? (check all that apply)

Question Title

* 6. What size mouthpieces to do order regularly?

Question Title

* 7. Do you currently use Isolite Anterior Mouthpieces?

Question Title

* 8. Do you currently use our Isolite Retractor?

Question Title

* 9. Do you currently use Optragate retraction?

Question Title

* 10. Where would parts for the evaluations be sent to?

Question Title

* 11. What is the name of the person in your office who usually fills out the surveys? (In some cases, I have had problems connecting survey responses to the clinicians who are doing the evaluation and this information might help ;)

Question Title

* 12. Please feel free to provide any current product feedback also.