Oral Health
Respondent sequence number
When did you last visit a dentist
Main reason for last dental visit
Past yr need dental but couldn't get it
Could not afford the cost
Did not want to spend the money
Insurance did not cover procedures
Dental office is too far away
Office not open at convenient time
Another dentist recommended not doing it
Afraid or do not like dentists
Unable to take time off from work
Too busy
Expected dental problems to go away
Other
Told benefits of giving up cigarettes
Told benefits of checking blood sugar
Told importance of checking for cancer
How often last yr. had aching in mouth?
Last yr had diff w/ job because of mouth
Last yr embarrassed because of mouth
Do you think you might have gum disease?
Rate the health of your teeth and gums
Ever had treatment for gum disease?
Any teeth became loose without an injury
Ever been told of bone loss around teeth
Noticed a tooth that doesn't look right
How many days use dental floss/device
Days used mouthwash for dental problem
Oral cancer exam where Dr pulls tonge
Oral cancer exam where Dr feels neck
When did you have oral/mouth cancer exam
What type of prof performed oral exam