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Exit Survey
 
 
ARE YOU MORE SENSITIVE IN THE MORNING ?
 
YES
 
NO
 
 
 
DOES THE COLD WEATHER AFFECT YOU?
 
YES
 
NO
 
 
 
DO YOU BRUSH YOUR TEETH VIGOROUSLY?
 
YES
 
NO
 
 
 
DO YOU RUB SENSITIVE TOOTHPASTE ONTO AFFECTED AREA FOR RELIEF?
 
YES
 
NO
 
 
 
HAVE YOU EVER WHITENED YOUR TEETH?
 
YES
 
NO
 
 
 
DO YOU USE A MANUAL TOOTH BRUSH?
 
YES
 
NO
 
 
 
DO YOU USE AN ELECTRIC TOOTHBRUSH?
 
YES
 
NO
 
 
 
DO YOU HAVE ANY RESTORATIONS (FILLINGS)?
 
YES
 
NO
 
 
 
DO YOU SUFFER FROM BLEEDING GUMS?
 
YES
 
NO
 
 
 
DO YOU USE ANY INTERDENTAL AIDS (TEPE BRUSHES, FLOSS, OR SUPER FLOSS)/?
 
YES
 
NO