MiniComfort Trial Survey Question Title * 1. Name of doctor and participant (Dr. Smith / Jane Doe): Question Title * 2. To ensure we rebate the correct account what was the case number of your order? (e.g. CN123456) Question Title * 3. What is your relationship to the dentist providing this appliance? Self Staff Spouse Other (please specify) Question Title * 4. Do you currently wear and appliance, if so what type or brand? NTI Hard Guard Hard Guard w/ Soft liner Gelb Soft splint Lucia Jig Other (please specify) Question Title * 5. Do you agree that the MiniComfort is effective in protecting your teeth from damage and wear? Agree Neutral Don't Agree Other (please specify) Question Title * 6. Do you now prefer to wear a hard guard or a MiniComfort? MiniComfort Hard Guard Other (please specify) Question Title * 7. Would you recommend MiniComfort to a friend who clenches or grinds? Yes No Question Title * 8. Do you agree that the MiniComfort is virtually invisible when you wear it? Yes No Question Title * 9. Do you feel comfortable wearing the MiniComfort to work and other social situations? Yes No Other (please specify) Question Title * 10. If you have pain in your jaw, or if it snaps or pops, does MiniComfort decrease the frequency or pain? Yes No N/A Other (please specify) Question Title * 11. Do you get a better night’s sleep when wearing MiniComfort? Yes No N/A Other (please specify) Done