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WorksheetsLet's Get to Know You!
Total questions: 12
Worksheet time: 11mins
What does your daily oral hygiene routine look like? (Check all that apply)
Toothbrushing
Flossing
Mouthwash
Tongue Scraper
Nothing
Do you have bleeding when you brush or floss?
Always
Sometimes
Never
How many times have you been to the dentist in the last 12 months?
1
2
3+
Not at all
Do you have any orthodontic appliances?
Braces
Retainer
Expander
Nothing
Other
What sports do you play?
What do you usually eat in a day?
Mostly healthy foods (ex: fruit/veggies, beans, nuts, meat, milk, whole grain bread)
Mostly junk food (ex: chips, candy, fast food, ice cream)
A mixture of healthy and junk foods
Do you usually eat sweet snacks and drinks between meals?
Always/Everyday
Sometimes
Never
In your own words, explain what a cavity is.
What causes cavities? Choose all that apply.
Bacteria
Drinking lots of water
Not regularly brushing your teeth
Sugar
Not sure
Have you ever had a cavity?
Yes
No
Do you know what Fluoride is?
Yes
No
What topics did you want to learn more about?
