What’s Keeping You From The Dentist?

Step 1 of 2

1. What Fears Have Made You Avoid The Dentist? (Select All That Apply)

1. What Fears Have Made You Avoid The Dentist?

2. Which Of These Causes You Anxiety? (Select All That Apply)

2. WHICH OF THESE CAUSES YOU ANXIETY? (SELECT ALL THAT APPLY)

3. What Physical Reactions Do You Experience When Having Work Done? (Select All That Apply)

3. What Physical Reactions Do You Experience When Having Work Done? (Select All That Apply)

4. Do you Fear Any Of These Situations? (Select All That Apply)

4. Do you Fear Any Of These Situations? (Select All That Apply)

5. What Work Are You Afraid Of Having Done? (Select All That Apply)

5. What Work Are You Afraid Of Having Done? (Select All That Apply)