Dental Anxiety Scale If you wish to asses your level of dental anxiety, please answer the following questions. Your answers are anonymous and confidential. A confidential report will be emailed to you if you input your email address.

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1. How many negative dental experiences have you had in your life?
very few
several.
almost all


2. If you had to go to the dentist tomorrow, how would you feel about it?
I would look forward to it as a reasonably enjoyable experience
I wouldn't care one way or the other.
A little uneasy
I would be afraid it would be unpleasant or painful.
I would be very frightened of what the dentist would do.


3. When you are waiting in the dentist's office for your turn in the chair, how do you feel about it?
I would look forward to it as a reasonably enjoyable experience
I wouldn't care one way or the other.
A little uneasy
I would be afraid it would be unpleasant or painful.
I would be very frightened of what the dentist would do.


4. When you are in the chair while the hygienist is getting out the instruments to scrape your teeth around the gums, how do you feel?
I would look forward to it as a reasonably enjoyable experience
I wouldn't care one way or the other.
A little uneasy
I would be afraid it would be unpleasant or painful.
I would be very frightened of what the dentist would do.


5. When you are waiting in the chair while the dentist prepares to give you an injection, how do you feel?
I would look forward to it as a reasonably enjoyable experience
I wouldn't care one way or the other.
A little uneasy
I would be afraid it would be unpleasant or painful.
I would be very frightened of what the dentist would do.


6. When you are in the chair waiting while the dentist gets the drill, how do you feel?
I would look forward to it as a reasonably enjoyable experience
I wouldn't care one way or the other.
A little uneasy
I would be afraid it would be unpleasant or painful.
I would be very frightened of what the dentist would do.


7. I feel that dentists do not really listen to what I say.
Disagree
Partially Agree
Agree


8. I feel that dentists do not take my worries (fears) seriously.
Disagree
Partially Agree
Agree


9. If I were to indicate that it hurts, I don't think the dentist would stop and try to correct the problem.
Disagree
Partially Agree
Agree


10. I am not sure I can believe what the dentist says about the work that is needed.
Disagree
Partially Agree
Agree


11. When did you last see a dentist?
Less than 2 years
Between 2-5 years
More than 5 years