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TMJ QUESTIONNAIRE Name: Date: Primary Care Physician Name and Phone #: Primary Care Physician Email: I. MEDICAL/ DENTAL HISTORY A. General Health: GoodFairPoorGoodFairPoor1. Physical.... 2. Emotional.
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How to fill out tmj questionnaire
How to fill out tmj questionnaire
01
To fill out the TMJ questionnaire, follow these steps:
02
Start by reading the instructions carefully to understand the purpose and format of the questionnaire.
03
Provide your personal information, such as your name, age, and contact details.
04
Take your time to answer each question honestly and accurately.
05
If a question is not applicable to you, mark it as 'N/A' or leave it blank if instructed.
06
Use the provided scale or rating system to indicate the severity or frequency of your symptoms.
07
Double-check your answers before submitting the questionnaire to ensure completeness.
08
If you have any doubts or concerns, consult with a healthcare professional for guidance.
09
Submit the filled-out questionnaire as per the instructions provided, whether it is by mail, email, or online submission.
10
Keep a copy of the completed questionnaire for your records, if necessary.
Who needs tmj questionnaire?
01
The TMJ questionnaire is typically needed by individuals who experience symptoms related to temporomandibular joint (TMJ) disorder or jaw dysfunction. This may include people who are experiencing jaw pain, facial pain, difficulty in opening or closing the mouth, clicking or popping sounds in the jaw, jaw locking, headaches, earaches, or other related symptoms. The questionnaire helps assess the severity, frequency, and impact of these symptoms on an individual's daily life. It is used by healthcare professionals, such as dentists or specialists in oral and maxillofacial surgery, to gather information and aid in diagnosing and planning appropriate treatment for TMJ disorders.
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