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Final Thoughts

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You should be proud of all the time and effort you put into improving your health and wellness. Your thoughts and opinions on this program are important to us. Your feedback helps make the program better for other participants so that they can improve their oral health, too. Please take a minute to complete the survey below.
How would you rate your health on a scale of 1 to 10?**
(1 = My health is bad;10 = My health is great)
Questions #2 through #5 are statements that people sometimes make when they talk about their health. Please let us know how much you agree or disagree with each one.
“I am responsible for managing my health condition.”*
“The best thing I can do for my health is take care of myself and make healthy choices every day.”*
“I know what I need to do to manage my medical condition(s), like diabetes.”*
“I know when I need to call my doctor for help.”*
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Have you been going to your doctor appointments?*
Please let us know why:*
Do you take your diabetic medication the way your doctor prescribed?*
Please let us know why:*
(Select all that apply.)
How would you describe your dental health at the moment?*
Why do you feel this way about your dental health?*
(Select all that apply.)
How often do you brush your teeth?*
What type of toothpaste do you use most often?*
How often do you floss your teeth or use an interdental brush/floss pick?*
How often do you use mouthwash?*
When was the last time you went to the dentist?*
What was the reason for your last dental visit?*
If you have not visited the dentist in the past year, why not?*
Are you experiencing any of the following oral health problems?*
(Select all that apply.)
Please rate the severity of the gum bleeding you’re experiencing on a scale of 1 to 10.*
(1 = Minor gum bleeding; 10 = Extreme gum bleeding)
Please rate the severity of the tooth sensitivity you’re experiencing on a scale of 1 to 10.*
(1 = Minor gum sensitivity; 10 = Extreme gum sensitivity)
Please rate the severity of the gum swelling/inflammation you’re experiencing on a scale of 1 to 10.*
(1 = Minor swelling or inflammation; 10 = Severe swelling or inflammation)
Please rate the severity of your bad breath on a scale of 1 to 10.*
(1= Minor bad breath; 10 = Severe bad breath)
Please rate the severity of your oral pain on a scale of 1 to 10.*
(1= Minor oral pain; 10 = Severe oral pain)
Please rate the severity of the oral health issue you’re experiencing on a scale of 1 to 10.*
(1 = Minor; 10 = Extreme)
Did you find the diabetes health information you received from the program to be trustworthy?*
Did you find the oral health information you received from the program to be trustworthy?*
How did you feel about the number of messages you received?*

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