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Please fill the questionnaire below:

Name: Practice/Institute
Address:
Postcode: Country
Tel Fax
Email:
I am happy to receive marketing information from MAST about products and services that are relevant to me.

Periodontal Testing Service

Do you have any patients with symptoms for periodontitis?
If so, how many of these patients do you see: Per week: Per month:
If you suspect periodontitis, do you test the patient for the presence of periopathogenic bacteria?
Would you use a testing service for identification of periopathogenic bacteria ?

Identification of Periodontopathogenic Bacteria

Do you: If so, who:
Name of Dentist Practice Name
Address: Postcode
Tel:    
How many patients have recurrent episodes of these symptoms and received additional treatment?
Would you use this test to monitor the effectiveness of any therapy?
How many patients would you be likely to test:? Per week: Per month:
What price would you expect to pay per Analysis: per Patient (max 4 samples):

Indication of potential hereditary factor

Would you use a service to determine if there was a likelihood of hereditary risk of periodontitis for recurrent or persistent disease? Per week: Per month:

What price would you expect to pay per analysis

Generation of results

What would you expect the turnaround time to be for:
a) Identification of pathogenic bacteria?
b) Identification of hereditary risk?
How would you prefer to receive the results?

 

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