Have you had in the Last 7 Days, due to Problems with the Teeth, in the Oral Area, Jaw or Implants, ...	Very Often	Often	Occasionally	Rarely	Never
Difficulty pronouncing certain words?
Feeling like your sense of taste is affected?
The impression that your life is less and less satisfying?
Difficulty relaxing?
It seemed to you, based on the problems of the last 7 days at the level of the teeth and the oral cavity:	Very often	Often	Occasionally	Rarely	Never
That you were more tense?
That you had to interrupt the meals?
That you didn’t like eating certain foods?
That you were more irritated with certain people?
That you found it difficult to complete the daily tasks in your life?
That you felt powerless to do something?
That you felt a little embarrassed, ashamed?
That your diet was unsatisfactory?
Have you had in the last 7 days:	Very often	Often	Occasionally	Rarely	Never
Pain in the mouth?
Feeling insecure about your teeth, mouth area, jaw or implants?