TMJ Health Questions Do you get headaches in the temples?*YesNoDo you frequently have neck pain?*YesNoAre your jaw muscles tired when you awake?*YesNoWhen is pain worse?*YesNoHave you ever had severe blow to the head/jaw?*YesNoIs there family history of TMJ?*YesNoDo you hear ringing, buzzing or hissing in ears?*YesNoHas your jaw ever locked (unable to open or close)?*YesNoHave you ever had a sleep study at a Sleep Clinic?*YesNoGeneral QuestionsHow do you feel about the condition and appearance of your smile?What would you like to improve about your smile?Do you want to save your stem cells?Do you have any additional concerns or comments?