Listening Short Test, Question Type, Section 1 - Part 1, Sentence / Form Completion

Part 1: Retainer Adjustment Visit

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Part 1: Retainer Adjustment Visit

Questions 1–4

Complete the form below.
Write ONE WORD AND/OR A NUMBER for each answer.

Retainer adjustment booking form
Patient name: Liam Foster
Patient number: [1] ____________________
Appointment day: [2] ____________________
Time: [3] ____________________
Street name: [4] ____________________

Questions 5–10

Complete the table below.
Write NO MORE THAN TWO WORDS for each answer.

Retainer adjustment: notes

Topic Details
Problem Rough edge rubbing the [5] ____________________
Type of retainer clear [6] ____________________
Cost Fee: £ [7] ____________________
Aftercare Rinse with [8] ____________________
Cleaning Use mild [9] ____________________ and cool water
Reminders By [10] ____________________