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What is your profession? *

Please explain *

Do you want the option to purchase SleepRight products online at www.sleepright.com? *

Yes

From what source do you receive information about your industry? *

What is the name of it? *

For what do you prescribe the SleepRight Rx Dental Guard? (check all that apply) *

Bruxism	TMJ Disorder
Snoring	Headaches
Diagnostics	Fibromyalgia
Myofascial Tension	Oral Fixations
Increase Physical Performance	I don't, but would like more information
Other

Please explain *

Which of the following dental guards do you recommend to your patients? (check all that apply) *

Custom Lab-Made Guard

Archtek

DenTek

Doctor's

NTI

Oral-B

Plackers

SleepRight

Don't Specify a Particular Brand

Other: Other:

Do you make lab-made guards in your own lab? *

Yes

What lab do you use most often? *

From which distributors do you purchase products for your profession? (check all that apply) *

Please explain *

Do you recommend SleepRight products to your patients? *

Yes

Which SleepRight products do you recommend? (check all that apply) *

Dental Guard

Nasal Breathe Aid

Vapor Inhaler

Tongue Cleaner

Side Sleeping Pillow

Lumbar Support Belt

If you would like to be entered for a chance to win a $25 VISA GIFT CARD, please enter the following information.

Name

Practice Name

Phone Number

Email Address

One winner will be randomly selected on March 31st, 2015.