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What does your smile say about your dental needs?

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Which statement best describes how you feel about your smile?
- I love having a bright and healthy smile.
- I like the way my smile looks, but sometimes I have tooth pain.
- My teeth are strong and straight, but look discolored lately.
- I’m self-conscious about my teeth and don’t like to show them.

What is your biggest concern regarding your dental health in the past year?
- Finding a great dentist for my whole family.
- Addressing my toothaches, jaw clenching, or grinding.
- Getting rid of the yellowing or discoloration on my teeth.
- Straightening my teeth, but I don’t want to commit to braces.
- Fixing broken teeth or filling in gaps.

What is your least favorite thing about going to the dentist?
- Dentists’ offices are generally unpleasant and stress me out.
- I don’t like running around to multiple dentists for different needs.
- I have sensitive teeth, and going to the dentist hurts.
- Even after a cleaning, my teeth don’t look as clean as I’d like.
- I don’t like anything about going to the dentist. I avoid it if I can.

Do you have concerns with your teeth that go beyond maintenance and deep cleaning?
- Not really, I just want to keep my teeth healthy.
- Yes, I want to find a solution for my sensitive teeth.
- Yes, I would like to improve the color and brightness of my teeth.
- Yes, my teeth are in need of a makeover. I need more than just cleaning or whitening.

How would you describe your past experiences with dentists?
- They have all been fine, but it seems like all dentists are the same.
- I have found it hard to find a dentist that meets all of mine and my family’s needs.
- I’ve gone to a few dentists for my pain and none have found the cause.
- I have avoided going to the dentist for a while now.

Do you wake up with tooth pain or grinding your teeth?
- Never or hardly ever, only when I’m very stressed.
- Yes, often or all the time.
- No, I don’t have tooth pain. I’m more concerned about the appearance of my teeth.
- I have some pain at times due to missing or crooked teeth.

Have you used over-the-counter whitening products?
- No, I never thought I needed them.
- Yes, but they hurt my teeth.
- Yes, but they didn’t give me the results I want.
- Yes, I use them consistently.
- No, I don’t think they would work with my teeth.

Have you ever used an over-the-counter mouth guard?
- No, I have never had a need for one.
- Yes, for my grinding, but the guard didn’t work for me.
- No, I think that my teeth are too sensitive for that.
- No, I don’t think that would help the problems I have with my teeth.

Have you ever had braces?
- Yes, I had braces when I was an adolescent.
- No, and my teeth are fairly straight.
- No, and I wouldn’t get them because of my sensitive teeth.
- Yes, and my teeth are still discolored from them.
- No, and I know I need them but don’t want to commit to adult braces.

What best describes what would you like to find most in a dentist?
- A convenient office that can take care of all my dental needs.
- A dentist that could pinpoint the source of my pain and find a solution.
- A dentist with a variety of whitening services in addition to general dentistry.
- A comforting office and staff with a doctor who can meet my unique needs.

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