BIL New Smile Study Phase 3 - PressOn Veneers | Brighter Image Lab Official Site

(877) 719-4483

Find Out If You're Entitled to a Smile Makeover AT NO COST!

Complete The Following Fields

Email *

When was your last visit to a dentist or dental office? *

How frequently are you currently brushing your teeth? *

How long has your current smile had an effect on your employment / social encounters? *

When was your last teeth cleaning at a dentist office? *

Have you received any dental quotes? *

Has any part of your bad smile been caused by work completed by a dentist? *

Do you suffer from dental anxiety? *

Please leave this field empty.

Do you feel you are underemployed? *

Do you work more than 40 hours per week? *

Do you work more than 1 job? *

Do you believe a new smile could improve your income? *

Do you smile in pictures? *

How important is your overall appearance? *

Have you ever smoked? *

How often do you consume alcohol? *

Have you ever taken part in an addiction recovery or 12-step program? *

Have you ever been incarcerated? *

I hereby authorize the use of my likeness and/or story for any and all purposes. I agree that New Life Smile will not be held liable for any loss, damages of injury associated with applying for, accepting, or using their new smile. I agree that New Life Smile retains the right to make any and all decisions as to the nature of the products or services being rendered and/or to cancel any agreement or work being done for any reason whatsoever. By submitting this form, I confirm I have read and agree to all of the privacy policy.

How does this work?

(877) 719-4483

NO PURCHASE NECESSARY TO ENTER OR WIN. New Smile Study with Brighter Image Lab is open to legal residents of the U.S,, 21 years of age or older.
Begins 12:00:01 a.m. ET 6/07/21, ends 11:59:59 p.m. ET 12/31/21. Visit brighterimagelab.com for free entry details and Official Rules