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10-Day Ready Smile Program Tracker

Welcome to Your 10-Day Ready Smile Tracker!

As part of the 10-Day Ready Smile Program, this tracker helps you monitor your progress while keeping your dental professional sponsor informed. Complete the form daily by rating your gum health, breath freshness, and sharing any observations. Stay consistent to ensure the best results and personalized guidance on your journey to a healthier smile!

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Date
Month
Day
Year
My Oral Health Professional Sponsor:




Please Select Your BACTIFENSE Program Category



Please check off the day of the program you are on below:



MORNING SWISH COMPLETED
YES
NO
AFTERNOON SWISH COMPLETED
YES
NO
EVENING IRRIGATION AND SWISH
YES
NO





















Please read over the below list and check off the box that most closely describes your current gum health condition, (1-10).

















Please read over the below list and check off the box that most closely describes your current Breath Freshness Level, (1-10).
















Please read over the below list and check off the box that most closely describes your current Tenderness/Pain Level, (1-10).
















Please read over the below list and check off the box that most closely describes your current Level of Concern About Oral Health, (1-10).
















Please read over the below list and check off the box that most closely describes your current Program Satisfaction Level, (1-10).
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Day # of Program:

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Breath Range.png
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Oral Health Concerns

Tenderness/Pain Estimator

Daily Oral Care Routine Tracking

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Swish Pic.png

Gum Health Estimator

Breath Freshness Estimator

Program Satisfaction

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