Dental Health Quiz

Questions marked with an * are required

Exit Survey

* 1. How satisfied are you with your current oral hygiene?

Extremely satisfied

I am satisfied, but it could be better

Extremely dissatisfied

* 2. How often do you visit the dentist?

Once every 6 months

Once every year

Only when I face a problem

Never

* 3. Have you had any of these done to your teeth?

* 4. Are you currently facing any of these problems?

* 5. How often do you do brush?

* 6. How often do you rinse with a mouthwash in a day?

* 7. How often do you change your toothbrush?

Every 2 -3 months

Every 6 months

When the bristles start breaking

* 8. What type of toothpaste do you use?

Fluoridated

Non-Fluoridated

I don’t really check

* 9. Name

* 10. Email Address

Thank you for taking our quiz. Your response is very important to us.You will receive free gel refills , to help ensure your teeth, gums and all the components of your entire mouth are 100% healthy!

*T&C apply