This free survey is powered by
Create a Survey
Surveys
2014
March
D
Dental attendance
Dental attendance
0%
Exit Survey
Gender?
Female
Male
Age:
18 to 28
29 to 39
40 to 50
51 to 61
62 to 72
Over 72
Ethnic group:
White British
White Irish
Other white background
White and black Caribbean
White and black African
White and Asian
Other mixed background
Asian or Asian British Indian
Asian or Asian British Pakistani
Asian or Asian British Bangladeshi
Other Asian background
Black or black British Caribbean
Black or black British African
Other black background
Chinese
Any other ethnic group
Arab
Education:
Primary school
Secondary school
College
Higher education/ university
specify:
If you are currently at work, please tick which best describes your employment:
Labourer
Semi-skilled
Skilled
Managerial
Professional
Other
Do you currently have a dentist?
Yes
No
In the process of looking
If you don't have a dentist please specify a reason?
If you have a dentist, is it NHS or private?
NHS
Private
Other
Are you eligible for free NHS treatment
Yes
No
i don't know
When was your last check-up?
Loading...
close
Loading...
Close
staticapp1.questionpro.net