Oral health survey questions and examples can be used to obtain information about the oral health condition of the respondents, the oral health related behaviors, the factors that facilitate behaviors that are conducive to good oral health and barriers which prevent people from adopting positive behaviors. This sample survey can be customized according to the details required of the audience. A questionnaire such as this, can enable the oral health centers to understand the current oral health problems faced by the audience and appropriate decisions can be taken to promote better oral health accordingly.