| 1. |
Do you feel that it is difficult to open your mouth? |
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| 2. |
Do you feel that right and left movement of your jaw is difficult? |
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| 3. |
Do you feel muscular pain and feel tired while chewing? |
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| 4. |
Do you have headaches frequently? |
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| 5. |
Do you feel stiffness in your neck? |
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| 6. |
Do you feel pain in your ears or TMJ? |
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| 7. |
Do you hear any sounds of the TMJ clicking while chewing or opening your mouth? |
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| 8. |
Do you grind or clench your teeth? |
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| 9. |
Do you feel that your teeth do not articulate properly? |
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| 10. |
Do you feel that you are a tense or nervous person? |
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