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Hello:
You are invited to participate in our Dental Insurance survey . In this survey, approximately 100 people will be asked to complete a survey that asks questions about dental visits as it relates to having insurance. It will take approximately ten minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential.

Thank you very much for your time and support. Please start with the survey now.
 
 
 
If yes, does your insurance cover dental visits?
 
Yes
 
No
 
 
 
What is your race?
 
African American
 
Caucasian
 
Asian
 
American Indian
 
Native Hawaiian
 
 
 
What is your gender?
 
Female
 
Male
 
 
 
Are you aware of how many times a year it is recommended to visit the dentist?
 
Yes
 
No
 
 
 
How often do you visit the dentist?
 
Once a year
 
Every 6 Months
 
Never
 
 
 
Do you suffer from tooth aches?
 
Yes
 
No
 
 
 
Do you visit the dentist for reasons other than major toothaches?
 
Yes
 
No
 
 
 
How often do you do screenings?
 
Once a year
 
Every 6 months
 
Never
 
 
 
Do you have insurance?
 
Yes
 
No
 
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