Survey Text

1999
1989
1986
1983
top
1999
Survey form view entire document:  text  image
These next questions are about dental care received during the 2 weeks beginning Monday, {fill beginning date} and ending this past Sunday {fill ending date}.
During those 2 WEEKS did you go to a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.
ADEN2W
(1) Yes (AAU.135.050)
(2) No (Go to Check Item AAUCCI5)
(7) Refused (Check Item AAUCCI5)
(9) Don't know (Check Item AAUCCI5)

Survey form view entire document:  text  image
[ These next questions are about dental care received during the 2 weeks beginning Monday, {fill beginning date} and ending this past Sunday, {fill ending date}. ]

CAU.160.040

DURING THOSE 2 WEEKS, did {S.C. name} go to a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.
CDEN2W
(1) Yes (CAU.160.050)
(2) No (CAUCCI2b)
(7) Refused (CAUCCI2b)
(9) DK (CAUCCI2b)

CAU.160.050

During those 2 weeks, how many times did {S.C. name} go to a dentist?
CDEN2WNO
(01-40) 1-40 times
(97)Refused
(99)DK

top
1989
Survey form view entire document:  text  image
These next questions are about dental care received during the 2 weeks (outlined in red on that calendar/beginning Monday (date) and ending this past Sunday (date)).

1a. During those 2 weeks did anyone in the family go to a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.

[] Yes
[] No (2)
[] DK (2)

b. Who was this?
Mark "Dental visits" box in person's column.

1[] Dental visit

c. During those 2 weeks, did anyone else in the family go to a dentist?

[] Yes (Reask 1b and c)
[] No

Ask for each person with "Dental visit" in 1b.
d. During those 2 weeks, how many times did -- go to a dentist?

2-week dental visits ____

top
1986
Survey form view entire document:  text  image
HAND CALENDAR.
These next questions are about receiving dental care.

3a. During the 2 weeks (outlined in red on that calendar), beginning Monday (date) and ending this past Sunday (date), did anyone in the family go to a dentist? Include all types of dentists, such as orthodontists, oral surgeons, and all other dental specialists, as well as dental hygienists.

[] Yes
[] No (4)

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

1 [] Dental visit

c. During those 2 weeks, did anyone else in the family go to a dentist?

[] Yes (Reask 3b and c)
[] No

top
1983

No questionnaire text is available for this sample.