TMD Pain Survey

Has your sleep partner complained that you grind or gnash your teeth in your sleep?*
yesno
Do you experience chronic or severe facial pain concentrated near your jawbone, around your mouth, and/or below your ears?*
yesno
Do you suffer from migraines?*
yesno
Are you prone to headaches, neck pain, and shoulder pain?*
yesno
Does your jawbone area hurt when you eat, drink, or move your mouth?*
yesno
Have you ever experienced unexplainable ringing in the ears?*
yesno
Do you wake up in the morning and experience facial pain, soreness of the tissues around the jawbone, or headaches?*
yesno
Does your jaw make popping or clicking noises when your mouth moves?*
yesno

PLEASE FILL OUT THE SHORT FORM BELOW AND WE WILL EMAIL YOU THE RESULTS.

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