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Do you drink coffee (caffeine)?
 
Yes
 
No
 
 
 
If yes, how many cups a day?
 
1-3
 
4-7
 
>7
 
 
 
Do you drink alcohol?
 
Yes, only at day time
 
Yes, only at night time
 
Yes, at all times
 
No, I don’t drink alcohol at all
 
 
 
Please indicate your level of stress (regarding life, study, etc…)
 
No stress
 
Low
 
Moderate
 
High
 
Very high
 
 
 
Do you clench your teeth?
 
Yes
 
No
 
 
 
Identify your gender:
 
Male
 
Female
 
 
 
Do you clench your teeth?
 
Yes
 
No
 
 
 
Do you smoke?
 
Yes
 
No
 
 
 
If yes, how many cigarettes a day?
 
1-4
 
5-10
 
11-20
 
>20
 
 
 
Prevalence of Bruxism Among Fouth Year Dental Students

Bruxism is a condition in which you grind, gnash or clench your teeth. If you have bruxism, you may unconsciously clench your teeth together during the day or grind them at night. The condition can cause permanent damage to teeth, as well as other problems such as headaches and facial pain.

The purpose of this study is to identify the prevalence of bruxism among 4th year dental students and to examine the awareness of this condition and its relationship to other factors. This study is being conducted through Jordan University of Science and Technology.

Please answer the following questions. It should not take you more than 5 minutes to complete the questionnaire. Do NOT write your name on this questionnaire, so your responses will remain anonymous and will never be linked to you personally. Thank you for your cooperation.

 
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