Mouth Breathing Quiz

1

Do you have chronic nasal obstruction or congestion?* This field is required.

Yes

Sometimes

No

2

Do you have chronic open mouth posture at rest?* This field is required.

Yes

Sometimes

No

3

Do you find yourself mouth breathing? (outside of exercise)* This field is required.

Yes

Sometimes

No

4

Do you have gum swelling around your front teeth and/or dry mouth?* This field is required.

Yes

Sometimes

No

5

Do you have gum swelling around your front teeth and/or dry mouth?* This field is required.

Yes

Sometimes

No

6

Do you have staining of the front teeth?* This field is required.

Yes

No

7

Do you have bad breath?* This field is required.

Yes

Sometimes

No

8

Do you have Maxillary protrusion - Your upper front teeth protrude?* This field is required.

Yes

Slight Protusion

No

9

Do you snore when sleeping? (Or, have you been told that you snore?)* This field is required.

Yes

Sometimes

No

10

Is your mouth and/or throat dry and/or sore when you wake up?* This field is required.

Yes

Sometimes

No

11

Do you grind your teeth in your sleep? (Or, have you been told that you do?)* This field is required.

Yes

Sometimes

No

12

Calculation

13

What is your name?* This field is required.

First Name

Last Name

14

What is your email address?* This field is required.

example@example.com