Smile EvaluationThis survey form is distributed to all our dental students, practicing dentists and non dentists to get the feedback on what is an aesthetically designed smile. Please kindly fill in the form and rate the smiles as stated below following the scale from most non-aesthetic to most aesthetic. Please note that some smiles may have very small difference(s).You will be given only one chance for each photo with no repeatable answer. Have fun analysing!DentistNon- DentistPATIENT 1Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 1A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 1B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 1C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 1D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 2Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 2A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 2B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 2C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 2D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 3Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 3A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 3B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 3C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 3D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 4Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.HTMLWhat do you think of this smile? Patient 4A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticHTMLWhat do you think of this smile? Patient 4B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticHTMLWhat do you think of this smile? Patient 4C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 4D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 5Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 5A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 5B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 5C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 5D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 6Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 6A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 6B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 6C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 6D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 7Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 7A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 7B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 7C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 7D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 8Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 8A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 8B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 8C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 8D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 9Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 9A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 9B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 9C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 9D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 10Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 10A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 10B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 10C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 10D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 11Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 11A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 11B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 11C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 11D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 12Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 12A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 12B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 12C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 12D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 13Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 13A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 13B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 13C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 13D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 14Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 14A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 14B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 14C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 14D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 15Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 15A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 15B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 15C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 15D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 16Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 16A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 16B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 16C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 16D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 17Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 17A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 17B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 17C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 17D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticPATIENT 18Please tick one, ANSWERS SHOULD NOT BE REPEATED WITHIN THE SAME PATIENT.What do you think of this smile? Patient 18A *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 18B *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 18C *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticWhat do you think of this smile? Patient 18D *1.Most aesthetic2.Aesthetic3.Moderately aesthetic4.Less aestheticThank You for your time.Finish
