TheraBreath Free On-Line Clinical Evaluation

	Free Online Breath Test
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TheraBreath Free On-Line Clinical Evaluation

The short test below will help us to evaluate the state of your oral care and target specific problem areas you may have. We have developed this test based on over 10 years of research at our treatment center in Beverly Hills, California.

After completing the test, you will receive an instant on-line score as well as a follow up email with a detailed analysis of your case. This email will also contain personalized product recommendations and handy oral care tips you will use again and again, so make sure you enter a valid email and add us to your safe sender list in any spam filters you may have running.

Get Evaluated Today!

Patent Pending Technology

Instant Online Breath Score

Detailed Breath Analysis

Personalized Product Recommendations

A) Personal Information

First Name:	Last Name: (optional)
Email Address:

B) Questions

Your Age
Your Sex
Male Female
Do you have Dry Mouth?
Yes No
Do you have Post Nasal Drip?
Yes No
Do you have allergies?
Yes No
Do you find your saliva becoming thick towards the end of the day?
Yes No
Do you find that you need to clear your throat often during the day?
Yes No
Do your teeth hurt when you drink hot or cold liquids?
Yes No
Are you taking prescription medication?
Yes No
Have you ever taken antibiotics for more than 3 weeks at a time?
Yes No
Are you allergic to Sulfa drugs (Bactrim, Flagyl)?
Yes No
Have you ever been prescribed or given ANY medication by a physician or dentist for bad breath?
Yes No
Do you snore?
Yes No
Do you tend to breathe through your mouth?
Yes No
Do you still have your tonsils?
Yes No
Did you ever notice white round globs stuck in them?
Yes No
Does your tongue have a white or yellow coating on it?
Yes No
Do you drink milk, eat cheese or other dairy foods?
Yes No
Do you snack on candy, gum, or mints containing sugar?
Yes No
Do you drink coffee?
Yes No
Do you smoke or chew tobacco?
Yes No
Do you drink more than 4 alcoholic beverages a week?
Yes No
Do you brush and floss every morning?
Yes No
Do you brush and floss every evening?
Yes No
Do you use toothpaste with a commercial detergent like sodium lauryl sulfate?
Yes No
Do you use alcohol based mouthwash?
Yes No
Do you drink 4 or more glasses of water a day ?
Yes No
Do you ever get canker sores in your mouth?
Yes No
Do your gums bleed?
Yes No

Note: Our on-line evaluation is not a substitute for a dentist visit. All evaluations are based on statistical data gathered from over 10 years of research cross-referenced to your answers and should not be considered medical advice.

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