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| Bruxism (grit your teeth): | ❒ no | ❒ yes - [ ] daytime | |
|---|---|---|---|
| Teeth clenching: | ❒ no | ❒ yes - until when: _______ | |
| Onychophagy (nail biting): | ❒ no | ❒ yes - until when: _______ | |
| Biting/Nibbling lips: | ❒ no | ❒ yes - until when: _______ | |
| Biting/Nibbling the inner mucosa of the cheeks: | ❒ no | ❒ yes - until when: _____________________ | |
| Biting objects: Which one? _____________________ | ❒ no | ❒ yes - until when: _____________________ | |
