| DSC | 1. I am proud of my teeth. |
| 2. I like to show my teeth when I smile. | |
| 3. I am pleased when I see my teeth in the mirror. | |
| 4. My teeth are attractive to others. | |
| 5. I am satisfied with the appearance of my teeth. | |
| 6. I find my tooth position to be very nice. | |
| SI | 7. I hold myself back when I smile so my teeth don’t show so much. |
| 8. If I don’t know people well I am sometimes concerned what they might think about my teeth. | |
| 9. I’m afraid other people could make offensive remarks about my teeth. | |
| 10. I am somewhat inhibited in social contacts because of my teeth. | |
| 11. I sometimes catch myself holding my hand in front of my mouth to hide my teeth. | |
| 12. Sometimes I think people are staring at my teeth. | |
| 13. Remarks about my teeth irritate me even when they are meant jokingly. | |
| 14. I sometimes worry about what members of the opposite sex think about my teeth. | |
| PI | 15. I envy the nice teeth of other people. |
| 16. I am somewhat distressed when I see other people’s teeth. | |
| 17. Sometimes I am somewhat unhappy about the appearance of my teeth. | |
| 18. I think most people I know have nicer teeth than I do. | |
| 19. I feel bad when I think about what my teeth look like. | |
| 20. I wish my teeth looked better. | |
| AC | 21. I don’t like to see my teeth in the mirror. |
| 22. I don’t like to see my teeth in photographs. | |
| 23. I don’t like to see my teeth when I look at a video of myself. |