TMJ/MPD SCREENING QUESTIONNAIRE

This is a list of signs and symptoms commonly associated with temporomandibular joint disorder (TMJD) and/or myofascial pain dysfunction (MPD).

Please complete this checklist as it will help identify if you have any evidence of TMJ or MPD. You can print a copy and bring it with you at your first appointment.

Print .pdf version of questionnaire by click here
Print. Excel version of questionnaire by clicking here