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- TX MacArthur Park Dentistry New Patient Dental Questionnaire 2015
Get TX MacArthur Park Dentistry New Patient Dental Questionnaire 2015-2024
Ou like to change: How do you feel about your current oral health?: Good Fair Poor How many times do you brush per day? Floss per week? Do you have problems with unpleasant breath? Yes No Do your gums bleed when you brush or floss? Yes No Please rate the following: Gum Sensitivity: None 1 Pain tolerance: 3 4 2 3 4 2 3 4 None 1 Dental anxiety: High 2 High None 1 5 5 High 5 Is there anyt.
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