Table 1. Questionnaire for the assessment of latex and nitrile allergy.

Questions	Options
Are you a regular dental practitioner?	Yes
	No
Which type of gloves do you use regularly?	Latex
	Nitrile
	Other
Any family history of allergy?	Yes
	No
Do you have any systemic condition?
How many hours do you work a day?	4-5hr
	6-7hr
	8-9hr
	10-12hr
How many hours do you wear gloves during dental practice?	1-2hr
	2-3hr
	4-5hr
	5-6hr
	8-9hr
Do you have any history of rashes on your hand after the use of gloves?	Yes
	No
Do you have a history of anaphylaxis?	Yes
	No
Do you have any other symptoms?	Itching
	Erythema
	Swelling
	Wheezing
	None of the above
When you wear gloves have you noticed any?	Shortness of breath
	Chest tightness
	Other
	None of the above
Have  you undergone any allergy skin test?	Yes
	No
Do you suffer from any other allergy?	Yes
	No
If yes which kind of allergy?	Dental materials
	Drug
	Disinfectant
	Soap
	Others
Do you suffer from food allergy?	Vegetable
	Fruits
	Other
Do you have any history of water vesicles on your hands or crusted skin?	Yes
	No
Have you experienced swelling or difficulty in breathing after blowing off a balloon?	Yes
	No
Do you have any history of frequent surgery or invasive medical procedure?	Yes
	No
How do you manage the glove allergy?	Quit wearing gloves
	General medical treatment
	Other
What precaution do  you take to prevent glove allergy?	Avoiding oil-based cream
	Handwash after wearing gloves
	Medication
	Use alternative gloves
Do prolong use of rubber dam during procedure cause any changes like?	Swollen lips
	Itching in mouth and tongue
	Ulcer
	All of the above
	None of the above