Pearly Teeth Wax Post-Study Questionnaire

Pearly Teeth Wax Post-Study Questionnaire

Purpose: Demonstrate observed effects of our proprietary formula on tooth strength, enamel appearance, and oral comfort.
Name

First NameLast Name
Email
example@example.com
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Date

MonthDayYear
Date
15–2930–4445–5960–7475–89
Overall, how sensitive are your teeth to common triggers such as hot, cold, sweet, sour, pressure, or brushing? (1 = Not sensitive at all 10 = Extremely sensitive)
Please rate the overall strength of your teeth in areas you believe may have cavities or decay (1 = Very weak, 10 = Very strong).
Please rate your perception of your teeth in the areas where you have been using Pearly (1 = Enamel appears rough or decaying, 10 = Enamel appears smooth and improving)
Were you able to adjust your diet to better support your dental health? (1 = Not open to modifying my diet 10 =Very willing to modify my diet)
Were you able to manage your stress through exercise, meditation, or lifestyle changes? (1 = Not willing at all, 10 = Extremely willing)
Were you able to address the emotional side of tooth decay by exploring strong feelings through: journaling, learning, and acceptance? (1 = Not willing at all, 10 = Extremely willing)
Were you consistent in supporting your body’s healing?
Were able you to spend 5 minutes or less per day applying the Pearly? (1 = Not willing at all, 10 = Extremely willing)
To support the most accurate assessment, please upload a post-treatment image of any area(s) of concern before beginning. Participation is optional, and all images are anonymous. Submissions help us evaluate product effectiveness.

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Is there anything you think we should know about your experience using Pearly in the last 2 months?
Thank you for participating!

Your input is highly valuable for the future of holistic dental care.
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