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Oral Hygiene

Dear Sir or Madam, please take a few minutes of your time to complete the following questionnaire.

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Oral health
1

Are you currently registered with a dentist

Select one or more answers
2

When was the last time you had an oral health check up?

Select one or more answers
3

Do you get regular check ups?

Select one or more answers
4

If no, please state why

5

Do you visit a hygienist?

Select one or more answers
6

If no please state why

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Oral health
7

Are you a smoker?

Select one or more answers
8

How many cigarettes do you smoke a day?

Select one or more answers
9

Have you tried quitting?

Select one or more answers
10

Are you aware of the help available to quit smoking?

Select one or more answers
11

If no, do you feel more knowledge on the benefits of quitting would encourage you to try?

Select one or more answers
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Oral health
12

Do you use alternative nicotine products e.g vaping or snus

Select one or more answers
13

Are you aware of the negative impacts they have on oral health?

Select one or more answers
14

If no, do you feel that this knowledge would encourage you to stop using them?

Select one or more answers
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Oral health
15

Do you have a high sugar intake

Select one or more answers
16

Do you drink high sugar drinks such as energy drinks/fizzy drinks

Select one or more answers
17

Are you aware of the negative impacts sugar has oral health?

Select one or more answers
18

If no, do you feel more information would be beneficial for changing oral hygiene habits?

Select one or more answers
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