Name of participant:

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* 1. Name of participant:

What is your relationship to the dentist providing this appliance?

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* 2. What is your relationship to the dentist providing this appliance?

Do you currently wear and appliance, if so what type or brand?

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* 3. Do you currently wear and appliance, if so what type or brand?

Do you agree that the MiniComfort is effective in protecting your teeth from damage and wear?

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* 4. Do you agree that the MiniComfort is effective in protecting your teeth from damage and wear?

Do you now prefer to wear a hard guard or a MiniComfort?

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* 5. Do you now prefer to wear a hard guard or a MiniComfort?

Would you recommend MiniComfort to a friend who clenches or grinds?

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* 6. Would you recommend MiniComfort to a friend who clenches or grinds?

Do you agree that the MiniComfort is virtually invisible when you wear it?

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* 7. Do you agree that the MiniComfort is virtually invisible when you wear it?

Do you feel comfortable wearing the MiniComfort to work and other social situations?

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* 8. Do you feel comfortable wearing the MiniComfort to work and other social situations?

If you have pain in your jaw, or if it snaps or pops, does MiniComfort decrease the frequency or pain?

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* 9. If you have pain in your jaw, or if it snaps or pops, does MiniComfort decrease the frequency or pain?

Do you get a better night’s sleep when wearing MiniComfort?

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* 10. Do you get a better night’s sleep when wearing MiniComfort?

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