TMJ / TMD Questionnaire

Questions About TMJ Scottsdale Arizona

Please answer the following questions and we will let you know if we think you should consult a TMJ expert.

I am …

Please choose one I am a new patient I am a current patient

Do you have……in the ears?*

Do you have pain in the jaw joints?*

Can you easily open your mouth wide enough to eat?*

When you chew, do your joints……?*

Do you have pain while chewing?*

Does your bite feel different?*

Do your teeth hurt?*

Are they sensitive to hot or cold?*

Do you clench or grind your teeth at night?*

Are you experiencing?*

Does your jaw get stuck open or closed?*

Do bright lights bother you?*

Other Symptoms

Email*

Phone*