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Table 1 Questionnaire used in the study

From: Factors influencing patient satisfaction with dental appearance and treatments they desire to improve aesthetics

Survey on patient satisfaction with dental appearance and desired treatment to improve aesthetics
1. Sex □Male □Female 2. Age:___________(years)
3. Education level: □ Primary □ Secondary □ Post secondary □ Tertiary
1. Are you satisfied with the general appearance of your teeth? □ Yes □ No
2. Are you satisfied with your tooth color? □ Yes □ No
3. Do you feel your teeth are crowded? □ Yes □ No
4. Do you feel your teeth are poorly aligned? □ Yes □ No
5. Do you feel your teeth are protruding? □Yes □ No
6. Do you have dental caries in your front teeth? □ Yes □ No
7. Do you have non-aesthetic fillings in your front teeth? □ Yes □ No
8. Do you have fractures in your front teeth? □ Yes □ No
9. Do you wish to undergo these treatments to improve the appearance of your teeth?   
  a. Orthodontic treatment to realign teeth □ Yes □ No
  b. Tooth whitening □ Yes □ No
  c. Dental crowns □ Yes □ No
  d. Tooth coloured fillings □ Yes □ No
  e. Dentures □ Yes □ No