The Effectiveness of Orofacial Pain Therapy in Indonesia: A Cross-Sectional Study

Table 2

Orofacial pain therapy effectiveness questionnaire.

Name:
Age:
Sex:
No	Questions	Level
		Not at all	A little bit	Moderately	A lot
1	After the therapy, did you feel any improvement on the following functions?
	(a) Chewing
	(b) Speaking
	(c) Closing and Opening the mouth
2	After the therapy, did you feel that:
	(a) the intensity of your pain decrease?
	(b) the frequency of the occurrence of the pain decrease?
	(c) the pain decrease when you perform certain jaw movement?
3	After the therapy, were you able to perform the following activities as per usual?
	(a) Work activity
	(b) Social activity
	(c) Daily activity