1 = 18-30 years
2 = 31-40 years
3 = 41-50 years
4 = 51-60 years
5 = Above 60 years

1 = Male
2 = Female

1 = Undergraduate
2 = Graduate
3 = Post-graduate
4 = Below Undergraduate

1 = Student
2 = Business
3 = Healthcare Professional
4 = Engineer
5 = Teacher
6 = Labor work
7 = Others

Do you smoke?
1 = Yes
2 = No

How many cigarettes per day?
1 = 2
2 = 4
3 = 6
4 = 8
5 = More than 8

Do you feel dryness in your mouth?
1 = Yes
2 = No
3 = Maybe

I sip liquids to help swallow food.
1 = Never
2 = Hardly ever
3 = Occasionally
4 = Fairly often
5 = Very often

Have you had trouble pronouncing any word?
1 = Never
2 = Rarely
3 = Sometimes
4 = Repeatedly
5 = Always

Active OHIQ Category
1 = Poor
2 = None