TABLE 3.

PROMIS child oral health short form items

Subcomponent	Items	Response
PHY/Symptoms	My child’s mouth hurts	Often (0); Sometimes (2); Almost Never (4); Never (5)
PHY/Symptoms	It was hard for my child to eat because of pain in his or her mouth	Always, Almost always, Often (0); Sometimes (2); Almost Never (4); Never (5)
PHY/Oral Health Status	In general, would you say your child’s oral health is:	Poor (0); Fair (2); Good (3); Very good (4); Excellent (5)
MEN/Cognition	It was hard for my child to pay attention because of pain this or her mouth	Always, Almost always, Often (0); Sometimes (2); Almost Never (4); Never (5)
MEN/Affect	In the last 4 wk, how much of the time was your child worried or concerned about problems with his/her mouth, tongue, teeth, jaws, or gums?	Always (0); Almost always (1); Often (2); Sometimes (3); Almost Never (4); Never (5)
MEN/Affect	In the last 4 wk, how much of the time were you pleased or happy with the look of your child’s mouth, teeth, jaws, or gums?	Never (0); Almost Never (1); Sometimes (2); Often (3); Almost always (4); Always (5)
SOC/Functions	In the last 4 wk, how much of the time did your child’s oral health interfere with his/her social activities?	Always (0); Almost always (1); Often (2); Sometimes (3); Almost Never (4); Never (5)
PHY/Symptoms	During the last school year, how many days of school did your child miss because of pain in his/her mouth, tongue, teeth, or gums?	2 or more days (0); 1 d (3); Never (5)