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  1. Surveys
  2. 2013
  3. November
  4. T
  5. Toothbrush
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Questions marked with an * are required Exit Survey
 
 
Name
   
 
 
 
* Age
   
 
 
 
ID number
   
 
 
 
What brand of toothbrush do you use?
   
 
 
 
What is the model of the toothbrush that you are using? (based on the brand you indicated)
   
 
 
 
What is the color of your toothbrush?
   
 
 
 
Toothbrush
 
 
The toothbrush head is where the bristles are located. Please answer clearly and with as much detail as possible.
 
 
 
What do you like about your toothbrush head
   
 
 
 
What don't you like about your toothbrush head?