Arizona Dental Hygiene Scope of Practice & Advocacy Priorities

Thank you for taking this brief survey. The goal of this questionnaire is to understand Arizona dental hygienists' interest in pursuing legislative and regulatory changes to expand our scope of practice. Your feedback will help guide future advocacy efforts in alignment with national ADHA initiatives and successful models from other states.

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1. How many years have you been practicing as a licensed dental hygienist?

0–5 years

6–15 years

16–25 years

26+ years

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2. What is your primary practice setting?

Private dental practice (fee-for-service / insurance-based)

Public health / Community clinic

Corporate/DSO

Mobile, portable, or school-based sealant program

Educational setting

Other (please specify)

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3. How important is it to you that Arizona pursues the Dental Hygiene Modernization Act - Model Legislation?

Not important at all

Extremely important

Clear

i We adjusted the number you entered based on the slider’s scale.

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4. How important is it to you that Arizona pursues direct Commercial insurance reimbursement?

Not important at all

Extremely important

Clear

i We adjusted the number you entered based on the slider’s scale.

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5. How important is it to you that Arizona removes practice setting restrictions?

Not important at all

Extremely important

Clear

i We adjusted the number you entered based on the slider’s scale.

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6. Please indicate your level of interest in the following practice models.

	Very interested	Somewhat interested	Not interested
Independent practice	Independent practice Very interested	Independent practice Somewhat interested	Independent practice Not interested
Hygiene-owned clinics	Hygiene-owned clinics Very interested	Hygiene-owned clinics Somewhat interested	Hygiene-owned clinics Not interested

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7. Please indicate your level of interest in dental hygiene diagnosis.

Very interested

Somewhat interested

Not interested

Very interested

Somewhat interested

Not interested

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8. Please indicate your level of interest in expanded prescriptive authority.

Very interested

Somewhat interested

Not interested

Very interested

Somewhat interested

Not interested

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9. Would you be willing to participate in grassroots advocacy, contact state representatives, or join an Arizona legislative action day?

Yes, absolutely

Maybe, depending on time commitments

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10. Would you be interested in helping in your legislative district?

yes, absolutely

maybe, depending on time commitments

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11. Do you have any friends or family members who are local legislators?

Yes

Other (please specify)

Arizona Dental Hygiene Scope of Practice & Advocacy Priorities

Question Title

1. How many years have you been practicing as a licensed dental hygienist?

Question Title

2. What is your primary practice setting?

Question Title

3. How important is it to you that Arizona pursues the Dental Hygiene Modernization Act - Model Legislation?

Question Title

4. How important is it to you that Arizona pursues direct Commercial insurance reimbursement?

Question Title

5. How important is it to you that Arizona removes practice setting restrictions?

Question Title

6. Please indicate your level of interest in the following practice models.

Question Title

7. Please indicate your level of interest in dental hygiene diagnosis.

Question Title

8. Please indicate your level of interest in expanded prescriptive authority.

Question Title

9. Would you be willing to participate in grassroots advocacy, contact state representatives, or join an Arizona legislative action day?

Question Title

10. Would you be interested in helping in your legislative district?

Question Title

11. Do you have any friends or family members who are local legislators?

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12. Please share any specific comments, concerns, or additional scope-of-practice topics you feel Arizona should prioritize:

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13. What is your name?

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14. What is your email address?

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15. Are you a member of ADHA?

Arizona Dental Hygiene Scope of Practice & Advocacy Priorities

Question Title

* 1. How many years have you been practicing as a licensed dental hygienist?

Question Title

* 2. What is your primary practice setting?

Question Title

* 3. How important is it to you that Arizona pursues the Dental Hygiene Modernization Act - Model Legislation?

Question Title

* 4. How important is it to you that Arizona pursues direct Commercial insurance reimbursement?

Question Title

* 5. How important is it to you that Arizona removes practice setting restrictions?

Question Title

* 6. Please indicate your level of interest in the following practice models.

Question Title

* 7. Please indicate your level of interest in dental hygiene diagnosis.

Question Title

* 8. Please indicate your level of interest in expanded prescriptive authority.

Question Title

* 9. Would you be willing to participate in grassroots advocacy, contact state representatives, or join an Arizona legislative action day?

Question Title

* 10. Would you be interested in helping in your legislative district?

Question Title

* 11. Do you have any friends or family members who are local legislators?

Question Title

* 12. Please share any specific comments, concerns, or additional scope-of-practice topics you feel Arizona should prioritize:

Question Title

* 13. What is your name?

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* 14. What is your email address?

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* 15. Are you a member of ADHA?

1. How many years have you been practicing as a licensed dental hygienist?

2. What is your primary practice setting?

3. How important is it to you that Arizona pursues the Dental Hygiene Modernization Act - Model Legislation?

4. How important is it to you that Arizona pursues direct Commercial insurance reimbursement?

5. How important is it to you that Arizona removes practice setting restrictions?

6. Please indicate your level of interest in the following practice models.

7. Please indicate your level of interest in dental hygiene diagnosis.

8. Please indicate your level of interest in expanded prescriptive authority.

9. Would you be willing to participate in grassroots advocacy, contact state representatives, or join an Arizona legislative action day?

10. Would you be interested in helping in your legislative district?

11. Do you have any friends or family members who are local legislators?

12. Please share any specific comments, concerns, or additional scope-of-practice topics you feel Arizona should prioritize:

13. What is your name?

14. What is your email address?

15. Are you a member of ADHA?