Survey Text

1971
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1971
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8a. During the past 2 weeks, did anyone in the family, (that is you, your --, etc.) go to a dentist?
[] Y (8b and c)
[] N (10)


b. Who was this? -- Mark "Dental visit," box in person's column. ____
[] Dental visit


c. During the past 2 weeks, did anyone else in the family go to a dentist?
[] Y (Reask 8b and c)
[] N


If "Dental visit," ask:

d. During the past 2 weeks, how many times did -- go to dentist?
No. of dental visits ____ (NP)


For each dental visit, ask:

9a. What did -- have done (the last time, the time before, etc.)? (Mark all that apply for each visit)


[Columns 1-3 for different people omitted here]


[] Cleaning teeth
[] Exam. (X-ray)
[] Fillings
[] Extractions or other surgery
[] Straightening (Orthodontia)
[] Treatment for gums
[] Denture work
[] Other (Describe) ________


b. Anything else?
[] Cleaning teeth
[] Exam. (X-ray)
[] Fillings
[] Extractions or other surgery
[] Straightening (Orthodontia)
[] Treatment for gums
[] Denture work
[] Other (Describe) ________