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How many times a day do you brush your teeth?
 
one
 
two
 
three
 
Other
 
 
 
 
How many times do you floss your teeth per day?
 
One
 
Two
 
Three
 
Other
 
 
 
 
How long have you been brushing?

Years
 
 
Months
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
Days
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
How often do you conduct surveys?
 
Weekly
 
Monthly
 
Quarterly
 
Annually
 
 
How long have you been brushing?
 
 
Overall, how satisfied are you with the company you work for?
 
Extremely Dissatisfied
 
Very Dissatisfied
 
Neither Satisfied nor Dissatisfied
 
Very Satisfied
 
Extremely Satisfied