The Gum Disease Information Bureau UK

You don't like going to the dentist
You haven't got / can't find a dentist
The dentist is too expensive
You have to wait too long for an appointment
You can't be bothered

4. How often do you brush your teeth?

Less than once a day
Once a day
Twice a day
More than twice a day

5. Do you use a mouthrinse?

Yes
No

6. If you do use a mouthrinse, for what purpose is it?

To freshen breath
To kill bacteria
To treat sore, bleeding gums

7. If you do use a mouthrinse, which do you use?

Listerine
Plax
Colgate Total
Sensodyne
Gengigel
Other

8. Do you clean between your teeth?

Yes
No

9. Would sore, bleeding gums make you feel self-conscious:

At work
On a date
In a restaurant
At the pub / At a party
Making a presentation

10. Do you suffer from mouth ulcers?

Yes
No

11. If so, do you:

Go to the dentist
Ask the advice of a pharmacist
Self Treat
Do nothing at all

12.If you self treat mouth ulcers, which product do you use?

Gengigel
Bonjella
Other

Age:

Under 18 years		18 - 25 years		26 - 35 years		36 - 45 years		46 - 60 years		60 years plus

Name:

Address 1:

Address 2:

Address 3:

Post Code:

Country:

E-Mail:

If you would like to receive further information about Gengigel with a money off voucher and be entered into our oral health goody bag prize draw please tick here.

Terms and Conditions
No purchase is necessary. The gift voucher must be accepted as offered and there is no cash alternative. The prize winner will be notified by post within 28 days. The promoter is hsdcommunications, Gable House, 40 High Street, Rickmansworth, Hertfordshire, WD3 1ER.

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