Survey Text

1989
1986
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1989
Survey form view entire document:  text  image

Ask for each person with "Mouthrinse" in 6b.
d. What brand did -- use most often during the past 2 weeks?
Do not read answer categories. Circle one brand.

1[] ACT, Fluorigard, Kolynos, Listermint, Reach, StanCare
2[] Prescription fluoride rinse
3[] PLAX
4[] Scope, Listerine, Lavoris
8[] Other (Specify) ____
9[] Don't know

Ask or verify.
e. Does this mouthrinse contain fluoride?

1[] Yes
2[] No
9[] DK

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1986
Survey form view entire document:  text  image

Ask for each person with "Fluoride mouthrinse" in 8b:
d. What brand did -- use most often during the past 2 weeks?
Do not read answer categories, circle ONE brand.

1 [] ACT
1 [] Flourigard
1 [] Listermint with Flouride
1 [] StanCare
2 [] Prescription fluoride rinse
8 [] Other (Specify) ____
9 [] Don't know