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Nervous
about your next dentist visit?
Sleep Dentistry
is perfect for patients who are nervous, fearful or anxious of dental treatment. Take our quiz to find out if sleep dentistry is right for you:
Please answer the following questions:
Do you experience pain in any of the following?
Teeth
Gums
Both
Other
If you do experience gum pain, how frequently?
Daily
Weekly
Monthly
Other
If you do experience tooth pain, how frequently?
Daily
Weekly
Monthly
Other
If you do experience other pain, how frequently?
Daily
Weekly
Monthly
Other
How long has it been since you've been to dentist?
Never
0-6 Months
6 Months - 1 Year
More than a year
Do you have anxiety about visiting dentist?
Yes
No
Do you have anxiety regarding general anaesthesia?
Yes
No
Are there any current issues you have that we should know about?
Your contact information:
First Name:
Last Name:
E-mail address:
Phone number:
Submit Quiz