On a scale of 1 to 100, where 1 is so
relaxed you could fall asleep, and 100 is the point where you are about to faint or become
sick, please rate the following situations.
Sitting in the dentist's waiting room.
Smelling the "smell" of a dentist's office.
Sitting up in a dental chair.
Reclining in a dentist chair.
Seeing the needle and syringe for anesthesia.
Receiving the anesthetic injection.
Hearing the noise of the dentist drill.
Having a tooth drilled.
Seeing the dental probes or instruments.
Having the dental instruments manipulated in your mouth.
The dentist walks into the treatment room.
Having your teeth cleaned.
Having dental x-rays taken.
If you answered more than 50 for any question, then you have some serious fears that
should be addressed. 0 - 50 - average levels of fear or concern 50 - 80 - high levels of fear
80 - 100 - extreme level of fear
