Pinecrest Dental - How's Your Sleep Survey Thanks for sharing your valuable feedback to improve the lives of our patients! Question Title * 1. Have you ever suffered from TMJ disorders and/or Bruxism (teeth grinding or clenching)? Yes No Unsure Question Title * 2. Have you ever suffered with a sleep-breathing disorder such as sleep apnea? Yes No Unsure Question Title * 3. Have you ever suffered with acid reflux or heartburn? Yes No Unsure Question Title * 4. How would you personally rate the condition of your oral health 5 years ago? (i.e. how healthy your gums and teeth were back then) Other (please specify) Question Title * 5. How would you personally rate the condition of your oral health TODAY? (i.e. how healthy your gums, teeth and smile are.) Other (please specify) Question Title * 6. How much do you feel your oral health links to your medical health on a scale of 1-10? (i.e. gum health and heart health, prevention of infection, sickness, etc.) Other (please specify) Question Title * 7. How would you personally rate the quality of your care at Pinecrest Dental? Other (please specify) Question Title * 8. What do you feel would help the general public better understand the link between oral health and overall health? Question Title * 9. Any comments? Question Title * 10. Your name (optional - will not be shared with any 3rd parties) Done