Needs and preferences questionnaire

  • Current Concerns and problems
  • Current approach to oral health
  • Values and Preferences
  • Tell your dentist!
1 of 4
Q2 Do you have any pain or discomfort in your mouth?
Q3 Do you have concerns about how your teeth look?
Q4 Do you have problems chewing your food?
Q5 Do you get food stuck between your teeth?
Q6 Do you find yourself chewing just on one side?
Q7 Do you notice any of the following?