(a) Difficulty in biting foods
(b) Difficulty chewing foods
(c) Difficulty with speech/trouble pronouncing words
(d) Dry mouth
(e) Felt embarrassed due to appearance of teeth
(f) Felt tense because of problems with teeth or mouth
(g) Have avoided smiling because of teeth
(h) Had sleep that is often interrupted
(i) Have taken days off work..........................
(j) Difficulty doing usual activities ................
(k) Felt less tolerant of spouse or people who are close to you .............
(l) Have reduced participation in social activities