a) Dryness/wetness upon waking in the morning (0-wettest; 100-driest) |
85 |
45 |
80 |
75 |
b) Mouth comfortable (0)/uncomfortable (100) upon waking in the morning |
90 |
85 |
85 |
90 |
2. I have trouble maintaining my weight because of swallowing problems (0-no; 100-a lot) |
0 |
0 |
0 |
0 |
3. I have trouble eating certain solid foods (hard to chew, crumbly, sticky)(0-no; 100-a lot) |
75 |
35 |
80 |
70 |
4. I have trouble drinking thin liquids (like water, tea, and Ensure®)(0-no; 100-a lot) |
0 |
0 |
0 |
0 |
5. Food gets stuck in my mouth (0-no; 100-a lot) |
65 |
10 |
55 |
55 |
6. Food gets stuck in my throat (0-no; 100-a lot) |
40 |
5 |
20 |
30 |
7. I choke or strangle on liquids (0-no; 100-a lot) |
0 |
0 |
0 |
0 |
8. I choke or strangle on solid foods (0-no; 100-a lot) |
0 |
0 |
0 |
0 |
9. I have problems with dry mouth (0-no; 100-a lot) |
100 |
60 |
100 |
100 |
10. The amount of saliva in my mouth seems to be too little (0-no; 100-a lot) |
100 |
50 |
100 |
100 |
11. Problems with dry mouth make chewing and swallowing difficult (0-no; 100-a lot) |
70 |
40 |
60 |
65 |
12. Problems with dry mouth affect my ability to sleep (0-no; 100-a lot) |
0 |
0 |
0 |
0 |
13. Do you sip liquids to aid in swallowing dry foods? (0-no; 100-a lot) |
50 |
50 |
50 |
50 |
14. Problems with dry mouth affect my ability to talk (0-no; 100-a lot) |
0 |
0 |
0 |
0 |
15. Are any of your teeth sensitive to hot, cold, or spicy food or drinks (0-no; 100-a lot) |
70 |
40 |
60 |
60 |
Disc |
|
|
|
|
16. How long do the discs last while sleeping (in hours)? |
N/a |
3 |
N/a |
N/a |
17. How long does the effect of the discs last while sleeping (in hours)? |
N/a |
6 |
N/a |
N/a |
18. How long does the flavor of the discs last while sleeping (in hours)? |
N/a |
6 |
N/a |
N/a |
19. How long do the discs last during the day (in minutes)? |
N/a |
120 |
N/a |
N/a |
20. How long does the effect of the discs last during the day (in minutes)? |
N/a |
150 |
N/a |
N/a |
21. Please rate the ease of use of the discs (0-100) |
N/a |
80 |
N/a |
N/a |
22. Please rate the flavor of the discs (0-100) |
N/a |
90 |
N/a |
N/a |
23. Please rate the mouth feel of the discs (0-100) |
N/a |
80 |
N/a |
N/a |
24. Please rate the convenience of the discs (0-100) |
N/a |
60 |
N/a |
N/a |
25. What is your overall impression of the product? (0-100) |
N/a |
80 |
N/a |
N/a |
26. Will you continue to use this product/recommend it to others? Y/N |
N/a |
Y |
N/a |
N/a |