Bruxism Clinical Trial Follow-up Name First Last When have you been wearing the inserts? Only during the day Only at night Both day and night On average, how many hours during each 24 hour period have you been wearing the inserts?Have you experienced any discomfort or problems wearing them?Please describe in detail any challenges you may have had wearing the inserts.Rate Your Success for Each Symptom BelowFor each of the following symptoms that apply to you, please rate the level of relief or reduction that you have experienced so far during the trial: (1 Star = Terrible - 5 Stars = Excellent)Reduction in teeth grinding or jaw clenchingExcellentPretty goodNeutralNot so greatTerrible Relief of pain in the chewing muscles and/or jaw joint sorenessExcellentPretty goodNeutralNot so greatTerrible Reduced jaw muscle pain or stiffnessExcellentPretty goodNeutralNot so greatTerrible Relief of aching pain in and around earsExcellentPretty goodNeutralNot so greatTerrible Improved jaw movementExcellentPretty goodNeutralNot so greatTerrible Less jaw clicking or popping when opening or closing the mouthExcellentPretty goodNeutralNot so greatTerrible Relief of headaches or migrainesExcellentPretty goodNeutralNot so greatTerrible What else can you tell us?We want to know as much as possible about your experience so far - good or bad; we need to know about it. This iframe contains the logic required to handle Ajax powered Gravity Forms.