* 1. Name of participant:

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

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

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

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

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

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

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

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

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

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