Oral Health Survey
Email address *
Would you be willing to share your story regarding access to dental care to a member of the Utah Health Policy project to help in the advocacy of better oral health access in Utah? If so, please provide your phone number and email address. *
What kind of DENTAL insurance do you have?
Clear selection
Do you face barriers accessing dental care? (please check all that apply)
How would you describe the condition of your teeth or dentures?
How long has it been since you last visited a dentist or a dental clinic for any reason?
Clear selection
What was the reason for your last dental visit?
Where do you currently get your dental care?
Clear selection
Is there anything else you'd like to share?
Submit
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