Experiences Accessing Dental Care in Washington
Children's Alliance, Washington CAN, and Statewide Poverty Action Network wants to know about your experiences with dental care in Washington. Please take the survey below to share your experiences with dental care. At the end of the survey, there are demographic questions so we can learn how dental care access impacts different communities and people broadly. Identifying information will not be used in our report we plan to write based off of the survey responses. Thank you for your time and if you have any questions, please contact Litonya Lester, Health Policy Director at Children's Alliance - litonya.lester@childrensalliance.org.

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Email *
Name: *
Phone Number:
On a scale of 1-5, with 1 being VERY affordable and 5 being NOT affordable, how affordable do you think dental care in Washington is? *
VERY Affordable ($)
NOT Affordable ($$$$$)
Do you have dental insurance? *
Do you have a dentist that accepts your insurance? *
How easy is it to find dentists who accept your insurance? Please explain *
How easy is it to find dentists who accept insurance for your family members? Please explain *
How far do you have to travel from your home to get to a dentist who will see you (i.e., accepts your and family members' insurance, has hours that work for your schedule)? *
When was the last time you saw a dentist for basic dental care like a cleaning and an exam? *
If it has been more than 6 months since your last dental visit, why have you not visited a dentist? (choose the answer most relevant to your situation) *
Have you, or your family members, experienced health problems related to not accessing dental care? Check all that apply. *
If you checked off a health condition caused by lack of dental care access, please explain
Has lack of dental care impacted your employment and/or life overall (i.e., tooth pain causing distraction, appearance of teeth impacting job prospects, etc)? *
If you answered yes to the previous question, please explain:
Have you ever faced any of the following discrimination from dentist? If yes, check all that apply. *
If you have faced discrimination from dentists, please share your experience.
Have you ever had debt due to dental care? *
If you answered yes to the previous question, please explain:
Is there anything else you would like to share with us about your experiences accessing dental care in Washington?
What city do you live in?
What is your age?
What is your race / ethnicity?
What is your gender identity?
What is your sexual orientation?
Do you have a disability?
Phone Number
If you have income, where does it come from?
Clear selection
Which organization referred you to this survey?
Clear form
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