Table 1.

Questionnaire to evaluate dental esthetics and its impact on psycho-social well-being and dental self confidence (tick against the appropriate option)

1	How much are you satisfied with your smile?	a. Highly satisfied b. Satisfied c. Not satisfied
2	What according to you is not satisfactory about your smile (more than one can be chosen)	a. Lip shape b. Tooth colour c. Tooth shape d. Tooth size e. Tooth position or arrangement f. Gingival color and position
3	Have you noticed that you hide your teeth when u smile	Yes/No
4	Are you comfortable with showing your teeth while smiling	Yes/No
5	Do you like your teeth display in mirror, photographs and videos	Yes/No
6	Have you perceived notion about other people’s views of your smile	Yes/No
7	Does your smile makes you conscious in presence of opposite sex	Yes/No
8	Do you wish that your teeth looked better	Yes/No
9	Is your teeth the reason of your dissatisfaction with your looks	Yes/No