Table 2: Orofacial pain therapy effectiveness questionnaire.

Name:
Age:
Sex:

NoQuestionsLevel
Not at allA little bitModeratelyA lot

1After the therapy, did you feel any improvement on the following functions?
 (a) Chewing
 (b) Speaking
 (c) Closing and Opening the mouth

2After 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?

3After the therapy, were you able to perform the following activities as per usual?
 (a) Work activity
 (b) Social activity
 (c) Daily activity