Oral Health Survey
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?
Through my job
Through a family member
Do you face barriers accessing dental care? (please check all that apply)
Can’t get a dental appointment when you need it
Can’t afford dental care
Don’t have transportation to dental appointments
Dental provider is not handicapped accessible
Fearfulness of dental visit
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?
Less than 12 months ago
Between 1-2 years ago
Between 2-5 years ago
More than 5 years ago
Do Not Remember
What was the reason for your last dental visit?
Where do you currently get your dental care?
Private dental office
Hospital emergency room
Public dental clinic
I do not get dental care.
Is there anything else you'd like to share?
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