Question Title

* 1. Do you offer oral health school screenings to kids in your area?

Question Title

* 2. If yes, do you offer these screenings for free?

Question Title

* 3. If you provide screenings, would you be interested in the ODA adding you to a public list of providers who perform these screenings?

Question Title

* 4. If you do not provide school screenings, are you interested in offering school screenings?

Question Title

* 5. Do you work with communities that often lack access to basic health services like flu shots?  Please describe.

Question Title

* 6. Do you have experience or stories to share about providing basic health care beyond dental care?  Please describe.

Question Title

* 7. Have you ever had an experience identifying patients’ health needs outside of basic dental care or providing care outside of your clinic? For example, some dentists have helped patients identify potential cancer, or pre-diabetes or additional health conditions, while others have traveled to disaster sites and other countries to provide care. Please describe your experiences or anecdotes.

Question Title

* 8. How do you think dentists can work to improve the overall public health of Oregonians?

Question Title

* 9. Would you be willing to share more of your story about how you are working to improve public health in your community?

Question Title

* 10. Name:

Question Title

* 11. Email:

Question Title

* 12. City:

T