Mobile Dental Hygiene Services

1 Were you aware Dental Hygienists can operate Mobile Dental Hygiene Clinics?

2 Which of the following describes your age group.

At most 1 answer can be selected

3 Do you currently have dental hygiene services available to you within your community?

At most 1 answer can be selected

4 What community do you currently reside in?

5 Do you currently seek dental hygiene treatment?

At most 1 answer can be selected

6 What community do you obtain your dental services in.

At most 1 answer can be selected

7 Which of the follow best describes how often you seek dental hygiene treatment.

At most 1 answer can be selected

8 If dental hygiene services where to be offered in your community via mobile setting, would you be inclined to utilize this service

At most 1 answer can be selected

9 If you are interested in being contacted when service becomes available in your community please enter your email address and the community you reside in below. You will only be contacted if/when the mobile service is available in your community.

10 Do you currently have dental benefit coverage? If so what who is the benefit provider (example: Alberta Blue Cross, Greenshield etc.)