• Have you had any changes in your vision?

• Do you get visual disturbances along with headaches?

• Have you had any changes in your vision?

• Do you get visual disturbances along with headaches?

• Are you experiencing pain or discomfort in your Jaw? And/Or does it hurt your mouth or jaw when you open your mouth wide?

• Does it hurt to move your jaw?

• Does it hurt to chew?

• Any discomfort upon chewing hard foods like carrots?

• Do your jaw muscles get tired from chewing?

• Have you ever not been able to open your jaw all the way?

• Have you ever had to wiggle your jaw to get it open?

• Has your jaw ever been stuck open and you couldn’t close it?

• Do you notice any noises when opening or closing your jaw?

• Are you experiencing pain or discomfort on your Face?

• Has the shape of your face changed?

• Has your chin shifted to one side of your face?

• Are you experiencing pain or discomfort in your Teeth?

• Have you noticed a change in the way your teeth come together?

• Have you noticed your teeth shifting?

• Are your teeth sore or sensitive?

• Are you aware that you grind or clench your teeth?

• Have you ever had a tooth extracted?

• Have you ever split or broken a tooth?

• Do you feel there is any connection between the dental work you have had done and the problems you are having?