Orthodontic Treatment Survey
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1. What is your age range?

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2. Have you ever received orthodontic treatment?

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3. If yes, what type of braces or aligners have you used? (Please select all that apply)

4. If you have used clear aligners, how long is your treatment planned to last?
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5. How many hours per day are you required to wear your clear aligners?
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6. How often do you swap out your clear aligners for a new set?
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7. After completing your orthodontic treatment, were you required to wear a retainer?
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8. If yes, for how long are you required to wear your retainer?
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8. Have you ever lost any of your aligners/retainers? If yes, how many?
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9. Where do you normally keep your aligners/retainers when not wearing them? (Please select all that apply)
10. Do you clean your aligners/retainers?
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11. If yes, how often do you clean them?
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11. What methods do you use to clean your aligners/retainers? (Please select all that apply)

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