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Have you ever wished 
you had known something sooner... before it was a big problem?

Protect yourself. This simple survey is transforming dental care.

STEP 1. Take the survey, new technology from leaders in dental health.
After the survey is complete, you will receive your results by email.

 

Please help Teeka and his buddies.

Dr. Nolf will donate $1 to AWSOM (no-kill animal shelter) for each test completion. Please like, share, pin, tweet and forward to all your friends.

 When your email report arrives click the link to verify you are a person.

 

Enter your age to get started
How old are you?
 
Gum tissue health assessment
Do you ever detect small amounts of blood when you brush your teeth?
 
Have you lost teeth due to an accident?
 
Have you ever been told by a professional that you have bone loss or pockets around one or more teeth?
 
Have you ever had or been advised to have advanced treatment like gum surgery or laser gum procedure?
 
I had or am currently scheduled for gum surgery (periodontal surgery).
Frequency that you use dental floss or other tool to clean between teeth:
The number of gum disease control cleanings called "periodontal maintenance" in the last 24 months:
Do you have a parent or sibling who has or had gum disease?
 
What is your diabetic status?
 
How many adult teeth have you had extracted because of decay, looseness, or pain? (not counting wisdom or impacted teeth, or teeth knocked out by an accident or removed for orthodontics)
 
Oral cancer risk assessment
Have you had oral cancer?
 
Do you smoke cigarrettes?
 
Do you use chewing or smokeless tobacco?
 
Do you smoke cigars or pipes?
 
Do you think you may have been infected with HPV (human papilloma virus)?
 
How many alcoholic drinks do you typically have in one week?
 
Send results to:
What is your first name?
 
What is the best email address to send your results to?
 
Results will be sent to your email for saving/printing. We take your privacy seriously! See our Terms of Service and Privacy Policy for more details.

CONGRATULATIONS! Step 1 almost complete!
CONGRATULATIONS! Step 1 almost complete!
We do not store any information linking users to results. This test is completely anonymous.