None	a little bit	some	quite a bit	very much
1. Making an appointment for dentistry.	1	2	3	4	5
2. Approaching the dentist’s office.	1	2	3	4	5
3. Sitting in the waiting room.	1	2	3	4	5
4. Being seated in the dental chair.	1	2	3	4	5
5. The smell of the dentist’s office.	1	2	3	4	5
6. Seeing the dentist walk in.	1	2	3	4	5
7. Seeing the anesthetic needle.	1	2	3	4	5
8. Feeling the needle injected.	1	2	3	4	5
9. Seeing the drill.	1	2	3	4	5
10. Hearing the drill.	1	2	3	4	5
11. Feeling the vibrations of the drill.	1	2	3	4	5
12. Having my teeth cleaned.	1	2	3	4	5
13. All things considered, how fearful are you of having dental work done?	1	2	3	4	5