Adult Online Assessment

Complete the quiz below to help determine whether orofacial myofunctional therapy could be beneficial for you.
Assessment
Do you snore or has anyone ever told you that you snore?
Do you wear a night guard or sleep appliance at night?
Have you been diagnosed with sleep apnea or any other form of sleep disordered breathing?
Did you have a tongue-tie surgery as an infant, or has a healthcare provider ever told you that you are tongue-tied?
Did you suck your thumb or fingers as a child?
Do you have frequent headaches, or do you clench or grind your teeth?
Do you notice that you breathe through the mouth at times, either during the day or night?
Do you have large tonsils and adenoids, or have they been removed?
Do you have allergies or have you been diagnosed with asthma either as a child or an adult? Does your child have allergies or asthma?
Have you had orthodontic expansion or do you have a narrow palate?
Opt-in to electronic communication

Please note that e-mail is not a secure form of communication. Medical information placed here may not be confidential. This form should not be used by children under the age of 18. If you prefer to speak to us directly, you are also welcome to call us so that we may assist you.

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If you answered yes to any of these questions, we are here to help...

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MarvelMyo & Speech

CALL OUR OFFICE

469-865-8057

FAX OUR OFFICE

817-668-0288

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location
MarvelMyo & Speech

Call Our Office

469-865-8057

Fax Our Office

817-668-0288
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HOURS
Monday
Closed
Tuesday
7:30am - 6:30pm
Wednesday
7:30am - 6:30pm
Thursday
7:30am - 6:30pm
Friday
7:30am - 6:30pm
Saturday
Closed
Sunday
Closed
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DENTALFONE

We are ready to help you or your child on your journey to optimal health!