Dental Education Survey - Smile Exchange of Turnersville

First name

Last name

Do you understand the health risks associated with poor oral hygiene?

Please explain why you disagree.

How many cleanings have you had over the last 12 months?

What has kept you away from the dentist? Select all that apply.

What has kept you away from the dentist?

What made you choose Smile Exchange? Select all that apply.

What made you choose Smile Exchange?

Dental Education Survey for Smile Exchange of Turnersville