TMJ Questionnaire

Please answer the following questions and we will let you know if we think you should consult a TMJ expert.

Do you have……in the ears?

Do you have pain in the jaw joints?

Can you easily open your mouth wide enough to eat?

When you chew, do your joints……?

Do you have pain while chewing?

Does your bite feel different?

Do your teeth hurt?

Are they sensitive to hot or cold?

Do you clench or grind your teeth at night?

Are you experiencing?

Does your jaw get stuck open or closed?

Do bright lights bother you?

Other Symptoms

Name Email Telephone

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