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* 1. How old/what grade is your child/children

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* 2. How do you pay for dental services

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* 3. Does your child utilize Dental Safari services?  

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* 4. What do you think keeps some families from using school offered Dental Safari services? (Check all that apply)

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* 5. What do you think keeps families from signing the Dental Safari consent forms? (Check all that apply)

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* 6. What do you think would make it easier for parents to give consent for their children to receive Dental Safari services? (Check all that apply.)

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