What level of pain do you have for the following?
(1-no pain, 5-severe pain)
1. Headache
1
2
3
4
5
5. Popping Joints
1
2
3
4
5
2. Neck and Shoulder Aches
1
2
3
4
5
6. Facial Pain
1
2
3
4
5
3. Clenching/Grinding
1
2
3
4
5
7. Ringing in the ear
1
2
3
4
5
4. Worn Down Teeth
No
Yes
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