From: Erosive tooth wear among non-institutionalised older adults in Hong Kong: a cross-sectional study
1. Age…………………… | |||||
2. Gender | |||||
☐ Male | ☐ Female | ||||
3. What is the daily frequency of your performing tooth brushing? | |||||
☐ 1 or less | ☐ 2 | ☐ 3 or more | |||
4. Do you use a toothbrush for cleaning your teeth? | |||||
☐ Yes | ☐ No | ||||
5. Do you use an interdental brush for cleaning your teeth? | |||||
☐ Yes | ☐ No | ||||
6. Do you use a toothpick for cleaning your teeth? | |||||
☐ Yes | ☐ No | ||||
7. Do you wear dentures? | |||||
☐ Yes | ☐ No | ||||
8. When is your last dental visit? | |||||
☐ Less than 1 year | ☐ 1–3 years | ☐ More than 3 years |