Quiz19 Nov, 2016 December 7, 2023 Name Email Phone Number 1. Are you above 40? Yes No 2. How often you brush your teeth Once a day Less than once a day Rarely Never Twice a day 3. How often do you clean between your teeth with a dental floss or interproximal brush? Once a day Less than once a day Seldom Never After every meal 4. Do your gums bleed when you brush or floss your teeth? Yes No Not sure 5. How often do you have your teeth professionally cleaned by a Dentist or dental hygienist? Once a year Less than once a year Minimum twice a year Never 6. Do any of your teeth feel loose? Yes No Not sure 7. Do your gums appear to be receding away from your teeth? Yes No Not sure 8. Has your dentist or dental hygienist ever told you that you have a gum disease? Yes No Not Sure 9. In the past were any of your teeth extracted by a dentist after they became loose or "fell out" by themselves after they became loose? Yes No 10. In last few months have any new gaps appeared between your teeth or the existent gaps increased in dimension? Yes No Not sure 11. Does any of your immediate family have a history of gum disease? Yes No Hint 12. Do you smoke or use any tobacco product? Yes No Not anymore Hint 13. Do you have diabetes? Yes No Not sure Hint 14. Have you been diagnosed with heart disease, stroke, high blood pressure or osteoporosis? Yes No I had in the past Hint Time is Up! Time's up