| | SHOW CARD C2

| |

| | In the past 6 months, have any problems with mouth, teeth or dentures caused to

| | have any of the following?

| |

| | CODE ALL THAT APPLY.

| | 1 Difficulty eating food

| | 2 Difficulty speaking clearly

| | 3 Problems with smiling, laughing and showing teeth without embarrassment

| | 4 Problems with emotional stability, for example, becoming more easily upset than

| | usual

| | 5 Problems enjoying the company of other people such as family, friends, or

| | neighbours

| | 96 None of these

| | [code maximum 5 out of 6 possible responses]