TMJ Relax Client Assessment

Candidate Assessment

Take 30 seconds to answer these questions and find out if TMJ Relax is right for you
1. Do you suffer from any of these symptoms?*

HeadachesFacial Muscle PainClenching or Grinding Your TeethEar Issues (pain, fullness, or ringing)Fatigue When ChewingLock JawPain When Eating, Speaking, or YawningNone of the above
2. How long have you been suffering? *
3. When you have these symptoms, how often is the pain severe?*
4. How often do your symptoms limit your ability to do work, chores, school, social activities or be in public? (Including being too tired, fed up/irritated)*
5. Are you taking any over the counter or prescribed medication to help ease your symptoms?*
Please verify that you are human*
Should be Empty:

Candidate Assessment