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Table 1 Questions in the CPQ11–14 – ISF :16 and the CPQ11–14 – RSF:16

From: Short forms of the Child Perceptions Questionnaire for 11–14-year-old children (CPQ11–14): Development and initial evaluation

In the past 3 months, how often have you ... (had/been) ... because of your teeth/mouth?

Domain

ISF specific questions

Common questions

RSF specific questions

OS a

 

Pain in teeth/mouth

Bad breath

Mouth sores

Food caught between teeth

 

FL b

Difficulty eating/drinking hot/cold foods

Difficulty chewing firm foods

Difficulty saying words

Taken longer to eat a meal

Trouble sleeping

EW c

 

Upset

Felt irritable/frustrated

Felt shy

Concerned what people think about your teeth/mouth

 

SW d

Asked questions

Teased/called names

Avoided smiling/laughing

Argued with children/family

Not wanted to speak/read loud in class

  1. a Oral Symptoms, b Functional Limitations, c Emotional well-being, d Social well-being