Public Health Dental Hygiene Dental (PHDHP) Survey I. DEMOGRAPHICS Question Title * 1. Location of personal residence (zip code) OK Question Title * 2. Location of primary practice site (zip code) OK Question Title * 3. Do you currently hold a PHDHP license? YES NO OK Question Title * 4. If answered YES to Question #3, list license number and date issued: OK Question Title * 5. Are you eligible for PHDHP licensure? YES NO NOT SURE OK Question Title * 6. Do you currently hold a Local Anesthesia license? YES NO OK Question Title * 7. If answered YES to Question #6, list license number and date issued: OK Question Title * 8. Are you currently a School Certified Dental Hygienist? YES NO OK Question Title * 9. Are you currently a Member of the ADHA? YES NO OK NEXT