Survey Text

1999
top
1999
Survey form view entire document:  text  image
CAU.160.020

What are the reasons {S.C. name} has never gone to the dentist? -OR- What are the reasons that {S.C. name} has not visited a dentist in over 12 months?
CDENNO
(01) Age/too young
(02) Afraid
(03) Nervous
(04) Needles
(05) Cost/no insurance
(06) Don't know dentist
(07) Dentist too far
(08) Can't get there
(09) No problems
(10) No teeth
(11) Not important
(12) Didn't think of it
(13) Other
(97) Refused
(99) DK
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]
[ ]

(Go to CAUCCI2b)