Neuromuscular (TMJ) Questionnaire


Migraine head aches?

Frequent neck aches or sore neck muscles?

Chronic shoulder or back pain?

Trouble sleeping soundly?

Jaws tired on waking?

Teeth sore on waking?

Wisdom teeth have been extracted?

Headaches in right or left temple areas?

Headaches in front or back of head?

Teeth clenching during day?

Teeth clenching at night?

Teeth grind when asleep?

When are your pain symptoms worst?

Does anything make you feel better?

How often do you take medication for relief of pain?


If you answered YES to ANY of the questions above, there are often several alternatives to improve your teeth and smile. To receive a personalized response to your smile analysis, please complete the form below.

You can have the smile you’ve always wanted! contact us today to schedule an appointment.