Oral Care Products

 
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1. Contact Info:
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2. Gender:
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3. Date of Birth (Ex. 08/25/1987)
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4. Industry & Title:
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5. What best describes your marital status?
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6. What best describes your annual household income?
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7. What best describes your ethnicity?
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8. What is your current employment status?
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9. Which, if any, of the following types of products do you personally use on a regular basis?
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10. Which of the following best describes your role in deciding what brand and type of oral care products to purchase and use?
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11. Approximately, how many times a day do you brush your teeth with toothpaste?
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12. What are all the brands of toothpaste you, yourself, have used in the past 6 months, whether you use them all of the time, some of the time or occasionally?
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13. Which, if any, of the following brands of toothpaste would you NOT consider using in the future?
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14. Which of the following types of dental work or devices, if any, do you currently have?
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15. About how often do you visit a dentist for a routine check-up?
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16. Do you have any extreme dental or gum issues that require the on-going care of a dentist or gum specialist, e.g., monthly visits?
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17. Please rate how concerned you are about the following conditions:
Extremely ConcernedVery ConcernedSomewhat ConcernedNot very ConcernedNot at all Concerned
Teeth sensitivity to hot or cold
Cavities
Weakening of enamel or erosion of enamel
Tooth discoloration
Receding gums/ gum recession
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18. What is the make and model of your current mobile phone?
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19. Where did you hear about this study?