Chomp Pilot Step 1 - Before You Start

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* 1. Your Pilot Code (this was sent in your email - 4 Letter code):

Your participation on this initial pilot scheme will enable you to develop your dental charting skills.

To measure your development please answer the questions below:

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* 2. Are you a dental professional?

No

Dental Nurse

Hygienist

Lab Technician

Dentist

Other (please specify)

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* 3. Are you qualified?

Yes

No

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* 4. Simply select each row to show your confidence in each area.

	Very Low	Quite Low	Quite Good	Very Good
Overall Dental Charting knowledge.	Overall Dental Charting knowledge. Very Low	Overall Dental Charting knowledge. Quite Low	Overall Dental Charting knowledge. Quite Good	Overall Dental Charting knowledge. Very Good
How do you rate your speed of manual charting?	How do you rate your speed of manual charting? Very Low	How do you rate your speed of manual charting? Quite Low	How do you rate your speed of manual charting? Quite Good	How do you rate your speed of manual charting? Very Good
How do you rate your speed of computer charting?	How do you rate your speed of computer charting? Very Low	How do you rate your speed of computer charting? Quite Low	How do you rate your speed of computer charting? Quite Good	How do you rate your speed of computer charting? Very Good
Overall knowledge of mouth regions.	Overall knowledge of mouth regions. Very Low	Overall knowledge of mouth regions. Quite Low	Overall knowledge of mouth regions. Quite Good	Overall knowledge of mouth regions. Very Good
Knowledge of Zsigmondy-Palmer Notation for mouth regions.	Knowledge of Zsigmondy-Palmer Notation for mouth regions. Very Low	Knowledge of Zsigmondy-Palmer Notation for mouth regions. Quite Low	Knowledge of Zsigmondy-Palmer Notation for mouth regions. Quite Good	Knowledge of Zsigmondy-Palmer Notation for mouth regions. Very Good
Knowledge of Zsigmondy-Palmer Notation for individual teeth.	Knowledge of Zsigmondy-Palmer Notation for individual teeth. Very Low	Knowledge of Zsigmondy-Palmer Notation for individual teeth. Quite Low	Knowledge of Zsigmondy-Palmer Notation for individual teeth. Quite Good	Knowledge of Zsigmondy-Palmer Notation for individual teeth. Very Good
Knowledge of Federation Dentaire International Notation (FDI) for mouth regions.	Knowledge of Federation Dentaire International Notation (FDI) for mouth regions. Very Low	Knowledge of Federation Dentaire International Notation (FDI) for mouth regions. Quite Low	Knowledge of Federation Dentaire International Notation (FDI) for mouth regions. Quite Good	Knowledge of Federation Dentaire International Notation (FDI) for mouth regions. Very Good
Knowledge of Federation Dentaire International Notation (FDI) for individual teeth.	Knowledge of Federation Dentaire International Notation (FDI) for individual teeth. Very Low	Knowledge of Federation Dentaire International Notation (FDI) for individual teeth. Quite Low	Knowledge of Federation Dentaire International Notation (FDI) for individual teeth. Quite Good	Knowledge of Federation Dentaire International Notation (FDI) for individual teeth. Very Good
Overall knowledge of tooth surfaces.	Overall knowledge of tooth surfaces. Very Low	Overall knowledge of tooth surfaces. Quite Low	Overall knowledge of tooth surfaces. Quite Good	Overall knowledge of tooth surfaces. Very Good

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* 5. Do you keep up to date with the dental profession and changes?

Yes

No