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. 2014 Jan 12;8(1):211–213. doi: 10.7860/JCDR/2014/6650.3846

[Table/Fig-1]:

modified questionnaire for assessment of xerostomia

1. Do you feel your mouth is dry? Mild xerostomia
2. Do you sip liquids to aid in swallowing dry food?
3. Do you feel thirsty very frequently? Moderate xerostomia
4. Do you have difficulties swallowing any food?
5. Does your mouth feel dry throughout the day? Severe xerostomia
6. Do you chew gum/hard candies/minutest daily to relieve oral dryness?