Dental Anxiety Scale—Part One
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| 1. |
If you had to go to the dentist tomorrow, how would you feel about it?
A little uneasy
I might break out in a sweat or almost feel physically sick.
I would start thinking of ways to cancel the appointment or not show up.
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| 2. |
When you are waiting in the dentist's office for your turn in the chair, how do you feel about it?
A little uneasy
I might break out in a sweat or almost feel physically sick.
I start thinking of reasons to avoid the treatment or leave the appointment prematurely.
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| 3. |
When you are waiting in the chair while the dentist prepares to give you an injection, how do you feel?
A little uneasy
I sometimes break out in a sweat or almost feel physically sick.
I am very afraid of the injection and consider making a run for the door.
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| 4. |
When you are in the chair waiting while the dentist gets the drill, how do you feel?
A little uneasy
I sometimes break out in a sweat or almost feel physically sick.
I feel fine at first, but then start to worry about being surprised by a sharp pain.
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| 5. |
When you are in the chair while the hygienist is getting out the instruments to scrape your teeth around the gums, how do you feel?
A little uneasy
I sometimes break out in a sweat or almost feel physically sick.
I am afraid their metal tools will hurt my root surfaces.
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| 6. |
How many negative dental experiences have you had in your life?
very few
several.
almost all
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| 7. |
When did you last see a dentist?
Less than 2 years
Between 2-5 years
More than 5 years
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| 8. |
Rate your Dental Health now.
Excellent
Average
Poor
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| 9. |
Rate where you want your Dental Health to be in one year.
Excellent
Average
Poor
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Dental Anxiety Scale—Part Two
Dental Competence and Sensitivity to the Patient |
| 10. |
I feel that dentists do not like it when I make a request.
Disagree
Partially Agree
Agree
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| 11. |
Dentists are efficient, but it often seems they're in a hurry.
Disagree
Partially Agree
Agree
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| 12. |
I feel that dentists do not provide clear explanations.
Disagree
Partially Agree
Agree
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| 13. |
I feel that dentists do not really listen to what I say.
Disagree
Partially Agree
Agree
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| 14. |
I feel that a dentists will do what he/she wants to do no matter what I say.
Disagree
Partially Agree
Agree
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| 15. |
Dental professionals say things to make me feel guilty about the way I care for my teeth.
Disagree
Partially Agree
Agree
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| 16. |
I am not sure I can believe what the dentist says about the work that is needed.
Disagree
Partially Agree
Agree
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| 17. |
I think that dentists say things in a way to try and fool me.
Disagree
Partially Agree
Agree
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| 18. |
I feel that dentists do not take my worries (fears) seriously.
Disagree
Partially Agree
Agree
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| 19. |
I feel that dentists put me down (make light of my fears).
Disagree
Partially Agree
Agree
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| 20. |
I worry about the dentist's infection control methods.
Disagree
Partially Agree
Agree
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| 21. |
If I were to indicate that a treatment hurts, I don't think the dentist would stop and try to correct the problem.
Disagree
Partially Agree
Agree
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| 22. |
When I am in the chair, I believe the treatment can't be interrupted, if I need a moment to rest.
Disagree
Partially Agree
Agree
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