The following questionnaire is based on a 2013 study by the CDC, which identified risk factors related to tooth loss. The income figure has been adjusted for inflation, but otherwise the factors are as determined by the CDC.

Note: This questionnaire/website is not intended to replace the services of a doctor. It does not constitute a doctor-patient relationship. Information in this questionnaire/website is for informational purposes only & is not a substitute for professional advice. Please do not use the information contained herein for diagnosing or treating any condition.