Is Myofunctional Therapy Right for You?
Let’s find out! This short self-assessment will help you discover if you or your child could benefit from myofunctional therapy. Myofunctional therapy can improve breathing, sleep, focus, posture, and even facial growth — things most people never realize are connected! This takes about 2–3 minutes. When you finish, you’ll have the option to schedule a consultation call directly through my calendar.
Your Full Name
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First Name
Last Name
Your Email Address
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example@example.com
Your Phone Number
Please enter a valid phone number.
Who is this assessment for?
Myself
My Child
How old is your child
Briefly describe any concerns or issues you are experiencing related to your oral or facial health.
Do any of these sound familiar?
I breathe mostly through my mouth
I wake up with a dry mouth or sore throat
I snore or grind my teeth
I have nasal congestion or allergies
I sleep with my mouth open
I've been told I stop breathing or gasp in my sleep
How would you rate your sleep?
I sleep GREAT 6-8 hours, never wake up
4-6 hours a night
I sleep terrible 2-4 hours a night
Never wake up
wake up 1 time a night
Wake up still tired
Picky eating
Are there textures of foods you dislike certain foods because of how they feel
Do you have a hyperactive gag reflex
do you chock on water when you are drinking
do you tend to bit on your cheeks or tongue while eating
Tongue, Lips & Swallowing
I have trouble keeping my lips closed when resting
I've been told I have a tongue-tie or lip-tie
I have difficulty swallowing pills or liquids
I use my lips, cheeks, or head movement to help me swallow
I drool at night or during the day
I've noticed speech sounds that are hard to make (like /s/, /l/, or /r/)
My tongue rests on the bottom of my mouth instead of the roof
Jaw Posture & Tension
I experience jaw clicking, popping, or soreness
I clench or grind my teeth
My neck and shoulders feel tight
I rest my chin in my hands often
My head sits forward instead of upright
I’ve been told I have TMJ or facial tension
Do you feel tension in your face and/or neck?
Does your lower jaw or chin seem to pull back (retrognathic profile)
Have you had orthodontic treatment, or are you considering it?
Have you had any release in the past (tongue, lip, buccal)
Have you been diagnosed with sleep apnea or any other airway issues?
For Kids Only
My child is a picky eater or avoids certain textures
My child drools or sleeps with their mouth open
My child has frequent congestion or ear infections
My child has dark circles under their eyes
My child struggles to focus or sit still
My child grinds teeth or snores at night
My child has had orthodontic work or was told they may need it
What surprised you the most about this assessment?
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