Dr. Anwaar Hijazi Dental Clinic
When was your last visit for a dentist ? متى كانت اخر زيارة لطبيب الاسنان
Less than 3 months
3-6 months
6-12 months
More than 12 months
Never
What was the main reason you last visited the dentist ? ما سبب اخر زيارة لطبيب الاسنان
Went in on own for check-up, examination or cleaning \ ذهبت لوحدك
Was called in by the dentist for check-up, examination or cleaning \ تم استدعائك من قبل الطبيب
Something was wrong, bothering or hurting\ الم مزعج
Do you experience any of the following while brushing your teeth? هل تعاني اي من التالية عند تنظيٝ اسنانك
Bleeding on brushing \ نزٝ ٝي اللثه اثناء تنظيٝ الاسنان
Pain or sensitivity \ الم او تحسس ٝي الاسنان
Mobility \ حركة ٝي الاسنان
I don't brush to avoid gum bleeding \ لا اٝرشي اسناني خوٝا من النزٝ
Did you notice any change in the position of your teeth like spacing or crowding? \ هل لاحظت تغييرات ٝي وضع اسنانك
Spacing \ ٝراغات
Crowding \ ازدحامات
Neither \ لا شيئ
Do you prefer to be called by your dentist for review or check-up appointments ? هل تٝضل ان يتم الاتصال بك من قبل الطبيب لحجز موعد
Yes
No
Do you like to have a free dental consult at our clinic ? هل ترغب بالحصول على استشارة مجانية ٝي عيادتنا
Yes
No
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