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  1. Surveys
  2. 2016
  3. February
  4. P
  5. PA Fluoride Survey
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Questions marked with a * are required Exit Survey
 
 
* Are you a legal resident of Pennsylvania?
 
Yes
 
No
 
 
 
* Does your household's water provider provide fluoride in your water?
 
Yes
 
No
 
Not Sure
 
 
 
* Please rank the following in order of interest:
Body Health
Cleanliness
Mental Health
Fitness
 
 
 
* What are your feelings on making it a requirement for all PA water suppliers to put fluoride in our water?
 
Disagree
 
Mostly Disagree
 
Neutral
 
Mostly Agree
 
Agree
 
 
 
Please rank the following in order of interest:
Cavity Prevention
Strengthening Teeth
Protection of Developing Teeth
Protection of Adult Teeth
 
 
 
Are you good at taking care of your teeth?
Yes
No
 
 
 
* What region of PA do you live in?
 
 
 
* What kind of community do you live in?
 
Rural
 
Suburban
 
Urban
 
 
 
* How old are you?
 
 
 
* Before taking this survey, did you know that fluoride was only in just over half of Pennsylvania residents' water?
 
Yes
 
No