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Pre-screening questions for possible board patients

I am down to the last few weeks of school and I still need a board patient. I have only a few available clinic times to screen for patients because I need the rest to complete my requirements. Does anyone have any good pre-screening questions to ask a patient? How long has it been since your last cleaning has proven to be unsuccessful. Thanks so much!

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Do you floss (clean interdentally)?
Do you brush your teeth twice per day?
Do your gums bleed when you brush or floss?
Are you diabetic?
Do you smoke?
Have you ever been told by a dentist you have gum disease?
Have you ever had a “deep cleaning” (non-surgical periodontal therapy, SRP)?
Has your dentist/hygienist ever suggested to have your teeth cleaned every 3 months?

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