Answer the following 10 questions, then enter your e-mail address and click the submit button below. We will e-mail your free analysis within one business day.

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1) How often do you experience headaches - including migraines?
never   Relief is available, but it takes someone with special training and experience. sometimes   frequently   always  

2) Have you experienced, or been told you clench or grind your teeth?
never    sometimes   frequently   always  

3) Do you ever experience pain or tenderness in your facial area?
never    sometimes   frequently   always  

4) Ever experience popping/clicking when opening/closing your mouth?
never    sometimes   frequently   always  

5) Does chewing or talking cause soreness, pain or fatigue in your jaw?
never    sometimes   frequently   always  

6) Do you ever experience unexplained ear pain or ringing sounds?
never    sometimes   frequently   always  

7) Do you have neck or shoulder pain from an injury or auto accident?
never    sometimes   frequently   always  

8) Do you (or been told that you) have receding gum lines?
never    sometimes   frequently   always  

9) Is it difficult to find a comfortable bite or position for your mouth?
never    sometimes   frequently   always  

10) Do you feel that you have limited mouth opening or movement?
never    sometimes   frequently   always  

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