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TheraBreath Free On-Line Clinical Evaluation
The short test below will help us to evaluate the state of your oral care and target specific problem areas you may have. We have developed this test based on
over 10 years of research
at our treatment center in Beverly Hills, California.
After completing the test, you will receive an
instant on-line score
as well as a follow up email with a detailed analysis of your case. This email will also contain
personalized product recommendations
and handy
oral care tips
you will use again and again, so make sure you enter a valid email and add us to your safe sender list in any spam filters you may have running.
Get Evaluated Today!
Patent Pending Technology
Instant Online Breath Score
Detailed Breath Analysis
Personalized Product Recommendations
A) Personal Information
First Name:
Last Name:
(optional)
Email Address:
B) Questions
Your Age
-- select your age --
1 - 19 years
20 - 29 years
30 - 39 years
40 - 49 years
50 - 59 years
60+ years
Your Sex
Male
Female
Do you have Dry Mouth?
Yes
No
Do you have Post Nasal Drip?
Yes
No
Do you have allergies?
Yes
No
Do you find your saliva becoming thick towards the end of the day?
Yes
No
Do you find that you need to clear your throat often during the day?
Yes
No
Do your teeth hurt when you drink hot or cold liquids?
Yes
No
Are you taking prescription medication?
Yes
No
Have you ever taken antibiotics for more than 3 weeks at a time?
Yes
No
Are you allergic to Sulfa drugs (Bactrim, Flagyl)?
Yes
No
Have you ever been prescribed or given ANY medication by a physician or dentist for bad breath?
Yes
No
Do you snore?
Yes
No
Do you tend to breathe through your mouth?
Yes
No
Do you still have your tonsils?
Yes
No
Did you ever notice white round globs stuck in them?
Yes
No
Does your tongue have a white or yellow coating on it?
Yes
No
Do you drink milk, eat cheese or other dairy foods?
Yes
No
Do you snack on candy, gum, or mints containing sugar?
Yes
No
Do you drink coffee?
Yes
No
Do you smoke or chew tobacco?
Yes
No
Do you more than 4 alcoholic beverages a week?
Yes
No
Do you brush and floss every morning?
Yes
No
Do you brush and floss every evening?
Yes
No
Do you use toothpaste with a commercial detergent like sodium lauryl sulfate?
Yes
No
Do you use alcohol based mouthwash?
Yes
No
Do you drink 4 or more glasses of water a day ?
Yes
No
Do you ever get canker sores in your mouth?
Yes
No
Do your gums bleed?
Yes
No
Note:
Our on-line evaluation is not a substitute for a dentist visit. All evaluations are based on statistical data gathered from over 10 years of research cross-referenced to your answers and should not be considered medical advice.
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