Hayden School District has collaborated with Northwest Colorado Health to bring a mobile dental clinic to our school and community.  The purpose of this survey is to obtain your insight to the need and potential use of the mobile dental clinic, and to collect your input around operating a clinic on the school premises.

 The dental mobile clinic brings services to students increasing access to dental services, reducing time off work for parents, addressing transportation and childcare needs and reducing missed classroom time.  All students will have access to services, regardless of their insurance status or ability to pay.

 Dental services initially offered will include the following with the option to expand services:  medical history review, screenings and/or exams, radiographs/x-rays, dental charting, fluoride treatments, dental cleanings, referrals to community dentists and oral hygiene instruction and nutritional counseling.

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* 1. What is your role?

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* 2. How do you feel about having a mobile dental unit on a school district campus?

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* 3. On average, how often do you estimate that students miss class per semester to go to the doctor, dentist or access other health services?

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* 4. Please comment on anything we need to keep in mind as we plan for the mobile dental clinic: (hours, access/scheduling, other)

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* 5. If we can provide these services in the future, which do you think would have the greatest positive impact on students? Check all that apply.

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