Gum Health Survey

Survey about Gum Health

Thank you for taking the time to complete this brief online questionnaire. Diabetes.co.uk and the British Society of Periodontology (gum health) are working together to improve gum health and we would like to know what you think about the health of your mouth.

There are no right or wrong answers so please simply let us know what you really think. Your answers will be confidential and anonymous and you will not be identified in any report arising from this survey.

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* 1. What gender are you?

Male

Female

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* 2. What is your age?

20 or younger

21-29

30-39

40-49

50-59

60 or older

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* 3. What is your household income?

Less than £13,000

£13,000-20,999

£21,000-25,999

£26,000-31,999

£32,000-39,999

£40,000-49,999

More than £50,000

I'd prefer not to say

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* 4. Which type of diabetes do you have?

Prediabetes

Type 2 diabetes

Type 1 diabetes

Gestational diabetes

LADA

MODY

Diabetes Insipidus

Healthcare Professional

I don't have diabetes

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* 5. Do your gums ever bleed?

Yes

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* 6. Have you ever been told you have gum disease?

Yes

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* 7. When did you last attend for a dental check up?

Less than a year ago

One or two years ago

More than two years ago

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* 8. Have you ever been given information about gum disease at any of the following?

Dental surgery

Doctor’s surgery

A pharmacy

None of these

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* 9. Do you think diabetes can affect your gums?

Yes

Don’t know