Oral Care Pre-screener November 2020 Pre-screening survey to be considered Question Title * 1. Contact Information Name City State -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Social Media Link Email Address Phone Number OK Question Title * 2. Please tell me whether you or any of your close family members work in any of the following professions. Advertising Public relations Journalism Retailing, sales or manufacture of Oral Care products Dentistry Market research Marketing None of these OK Question Title * 3. Are you fluent in English? Yes No OK Question Title * 4. Have you undertaken any market research or been involved in a market research discussion in the last 6 months? Yes No OK Question Title * 5. Have you ever undertaken any market research or been involved in a market research discussion about Oral cleaning products? Yes No OK Question Title * 6. What is your gender? Male Female Other None of the above OK Question Title * 7. What is your age? OK Question Title * 8. Do you have any children under 18 living at home with you? Yes No, my children have left home I don’t have any children OK Question Title * 9. Which of the following best describes your work situation in this past year (excluding COVID-19 impact) Working full time Working part time Home maker – Parent/carer at home Student Retired Unemployed OK Question Title * 10. What is your ethnicity? English/Welsh/Scottish/Northern Irish/British Irish Gypsy or Irish Traveller Any other white background White and Black Caribbean White and Black African White and Asian Any other Mixed/Multiple ethnic background Indian Pakistani Bangladeshi Chinese Any other Asian background African Caribbean Any other Black/African/Caribbean background Arab Any other ethnic group OK Question Title * 11. Who is responsible for the decision making with regards to purchasing oral health and dental appliance care products in your household? I am solely responsible I share responsibility jointly with someone else I have no decision-making responsibility Must be solely or jointly respondents for purchasing decisions OK Question Title * 12. Have you been severely affected by COVID-19? Yes No OK Question Title * 13. Do you suffer from severe tooth problems including having had recent oral health surgery, active caries, periodontitis etc.? Yes No OK Question Title * 14. How often do you visit the Hygienist? Bi-weekly or more regularly Once a month Once every 3 months Once every 6 months Once a year Once every 2 years OK Question Title * 15. How often do you visit the Dentist? Bi-weekly or more regularly Once a month Once every 3 months Once every 6 months Once a year Once every 2 years OK Question Title * 16. Can you tell me if you have any of the following? Please select all that apply All your own teeth Mainly natural teeth and a few crowns / bridges / implants Removable partial dentures - top Removable partial dentures - bottom Full dentures Orthodontic braces Removeable Orthodontic clear aligners Removeable Orthodontic retainers Night guards, e.g. to prevent grinding, snoring, sleep apnea etc. Mouth guard, e.g. for sport Other orthodontics None of the above OK NEXT