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* 1. Are you a KDA Member?

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* 2. Gender

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* 3. Age

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* 4. Race

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* 5. Hispanic or Latino

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* 6. Dental School

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* 7. Practice Type

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* 8. Do you own a dental practice?

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* 9. Of what other associations are you a member?

SECTION 1: KDA INVOLVEMENT

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* 10. Do you currently hold any positions in organized dentistry? (Check all that apply.)

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* 11. Please indicate your level of agreement with the following statements about the KDA.

  Strongly Agree Agree Slightly Agree Slightly Disagree Disagree Strongly Disagree
The purpose of the KDA is to advocate for dentists.
The KDA is my source of information for dental issues.
KDA communications keep me informed of dental issues.
The leadership of the KDA is in tune with my concerns as a dentist.
My KDA membership benefits exceed the cost of dues.
KDA endorsed services and products meet my practice needs.
The purpose of the KDA is to protect the public.

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* 12. Please rate your perception on Dental Organizations

  Very Positive Somewhat Positive Somewhat Negative Very Negative
Your local dental society
The Kansas Dental Association (KDA)
The American Dental Association (ADA)
SECTION 2: BENEFITS

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* 13. Overall, how would you rate the benefits (including products and services) offered by the KDA?

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* 14. How important are the following benefits to you as a KDA member?

  Very Important Important Somewhat Important Not Important
Influencing legislation that affects the dental profession
Receiving notification of legislation that affect the dental profession
Having a resource for information
Being part of a professional community
Providing Peer Review
Networking with other dentists
Providing continuing education opportunities
Having a Wellness (substance abuse) Program for Members
Having endorsed products and services

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* 15. Please indicate which of the following KDA endorsed products/services you use or have used.

  Currently Use Used in the Past Knew it was available Did not know it was available
Professional Liability, Workers Compensation, and Personal Insurance
Group and Individual health, Life, Long-Term Care, and Disability Insurance
Practice Financing
Amalgam Separator
Credit Card Processing
Retirement Administration and Planning
Credit Cards and Lines of Credit
Appointment Reminders and Messages on Hold
Patient Financing
Online Payroll Processing
Online and Paper Patient Charts
Personalized Apparel
Luxury Automobiles
Small Business Products (i.e., Hewlett Packard)
Dental Supplies
e-Prescribing Tool

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* 16. Which KDA service/program is the most valuable to you?

SECTION 3: ACTIVITIES/EVENTS

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* 17. Overall, how would you rate the activities/events provided by the KDA?

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* 18. Please rate the following activities/events provided by the KDA.

  Excellent Very Good Good Fair Poor I don't know/ no opinion
Kansas Initiative for New Dentists (KIND) Scholarships/Grants
Legislative Dental Day
Real World Transition Brunch
Sports Tailgate
Annual Meeting/Session
Children's Dental Health Month
Kansas Mission of Mercy (KMOM)
150th Year Celebration
SECTION 5: KANSAS DENTAL CHARITABLE FOUNDATION

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* 19. Please rate the following programs/activities provided by the KDCF

  Excellent Very Good Good/Satisfactory Fair Poor I don't know/ no opinion
Overall, how would you rate the programs/ activities provided by the Kansas Dental Charitable Foundation (KDCF)
Kansas Mission of Mercy (KMOM)
Relief Fund for Members
Community Grants
SECTION 6: ADVOCACY

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* 20. Please rate the following KDA advocacy efforts.

  Excellent Very Good Good/Satisfactory Fair Poor I don't know/ no opinion
Overall, how would you rate the advocacy efforts of the KDA?
Representing the interests of dentists at the state level
Influencing legislation that affects the dental profession
Providing notification of legislation that affects the dental profession
Promoting a positive image of dentistry to the general public
Supporting candidates through KDPAC

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* 21. As you think about KDA's advocacy efforts, which of the following issues are most important to you?

SECTION 7: COMMUNICATION

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* 22. Please rate the following KDA communication efforts

  Excellent Very Good Good/Satisfactory Fair Poor I don't know/ no opinion
Overall, how would you rate the communication efforts (including publications) of the KDA?
Journal of the KDA
KDA Social Media (Twitter, Facebook, Instagram, etc)
KDA Video Minute and Other Videos
KDA Website
KDA e-News
KDA LinkTree

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* 23. How likely are you to read information from the KDA received via the following communication methods?

  I always read this I often read this I sometimes read this I never read this
USPS Mail
E-mail
Website
Texting
Linktree
Social Media (Twitter, Facebook, Instagram, etc.)
SECTION 8: NON-MEMBERS

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* 24. Why are you not a member?

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* 25. Comments or Suggestions (optional)

Thank you for your participation.

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