1. Have you received any information about oral health? |
1
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0 No 1 Yes |
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2. When was the last time you received oral health information? |
2
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0 Never received information 1More than 2 years ago 2In the last two years 3In the last year |
4 In the last 6 months 5In the last month 99No answer/ did not know |
3. How often do you receive information about oral health? |
3
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0 Never received information 1Interval bigger than 2 years 2from 2 to 2 years 3Once each year |
4 Once in the last 6 months 5Once in the last month 99No answer/ did not know |
4. Did you understand the information you have already received about oral health? |
4
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0 Never received information 1Did not understand 2Understood poorly 3Understood partially |
4 Understood almost everything 5Understood everything 99No answer/ did not know |
5. Can you appraise whether the information you have already received about oral health is true or false? |
5
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0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty |
4 Able with minor difficulty 5Easily able 99No answer/ did not know |
6. Can you rank in more or less important the information you have already received about oral health? |
6
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0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty |
4 Able with minor difficulty 5Easily able 99No answer/ did not know |
7. Can you identify the information quality you have already received about quality oral health? |
7
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0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty |
4 Able with minor difficulty 5Easily able 99No answer/ did not know |
8. Can you appraise the advantages and disadvantages of different dental treatments considering the information you have already received about oral health? |
8
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0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty |
4 Able with minor difficulty 5Easily able 99No answer/Did not know |
9. Do you put into practice in your daily life the information you have received about Oral Health? |
9
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0 Never received information 1Never 2Seldom 3Sometimes |
4 Frequently 5Always 99No answer/ did not know |
10. Do you maintain a proper behavior, considering the information you have received on Oral Health? |
10
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0 Never received information 1Never 2Seldom 3Sometimes |
4 Frequently 5Always 99No answer/ did not know |
11. From which health professional(s) have you received information about oral health?
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12. When was the last time you received information about oral health from this\these professional(s)?
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13. Did you understand the information you received about oral health from the(se) professional(s)?
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14. Can you appraise the quality of the information you received about oral health from the(se) professional(s)?
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15. Do you put into practice the information you received about oral health from the(se) professional(s)?
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0 Doctor 0 Nurse/Crew 0 Dental Surgeon(s)/Team 0 Community Health Agent 0 Other? Who? _______________________ |
0 Never received information 1Interval bigger than 2 years 2In the last 2 years 3In the last year 4In the last 6 months 5In the last month 98 Not applicable 99No answer/ did not know |
0 Never received information 1Did not understand 2Understood poorly 3Understood partially 4Understood almost everything 5Understood everything 98 Not applicable 99No answer/Did not know |
0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty 4Able with minor difficulty 5Easily able 98 Not applicable 99No answer/Did not know |
0 Never received information 1Never 2Seldom 3Sometimes 4Frequently 5Always 98 Not applicable 99No answer/Did not know |
16. What issues were considered when you received information about oral health?
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17. When was the last time you received information about oral health from this\these issues?
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18. Did you understand the information you received about oral health from the(se) issues?
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19. Can you appraise the quality of the information you received about oral health from the(se) issues?
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20. Do you put into practice the information you received about oral health from the(se) issues?
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0 Caries 0 Dental Canal treatment 0 Gingival problems / Gingival bleeding 0 Bone loss around teeth / Dental mobility 0 Oral Hygiene 0 Dental trauma 0 Bruxism / clenching 0 Oral cancer 0 Dental prosthesis 0 Dental implants 0 Orthodontic treatment 0 Other, which? _______________________ |
0 Never received information 1Interval bigger than 2 years 2In the last 2 years 3In the last year 4In the last 6 months 5In the last month 98 Not applicable 99No answer/Did not know |
0 Never received information 1Did not understand 2Understood poorly 3Understood partially 4Understood almost everything 5Understood everything 98 Not applicable 99No answer/Did not know |
0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty 4Able with minor difficulty 5Easily able 98 Not applicable 99No answer/Did not know |
0 Never received information 1Never 2Seldom 3Sometimes 4Frequently 5Always 98 Not applicable 99No answer/Did not know |
21. Have you read information about oral health in printed or electronic materials?
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22. When was the last time you read information about oral health in print or electronic materials?
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23. Did you understand the information about oral health you read from those printed or electronic materials?
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24. Can you appraise the quality of oral health information from those printed or electronic materials?
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25. Do you put oral health information from printed or electronic materials into practice?
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0 Dental recipes 0 Package leaflets for medicinal products / Oral Rinse and / or Toothpaste Labels 0 Pre-and / or post-dental care guidelines 0 Poster 0 Reviews 0 Newspapers 0 Billboard 0 Flyer / Folder / Booklet 0 Internet 0 Other, which? ______________________ |
0 Never received information 1Interval bigger than 2 years 2In the last 2 years 3In the last year 4In the last 6 months 5In the last month 98 Not applicable 99No answer/Did not know |
0 Never received information 1Did not understand 2Understood poorly 3Understood partially 4Understood almost everything 5Understood everything 98 Not applicable 99No answer/Did not know |
0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty 4Able with minor difficulty 5Easily able 98 Not applicable 99No answer/Did not know |
0 Never received information 1Never 2Seldom 3Sometimes 4Frequently 5Always 98 Not applicable 99No answer/Did not know |
26. Have you ever watched and/or heard about oral health information in print or electronic materials?
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27. What was the last time you watched and/or heard oral health information in print or electronic materials?
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28. Did you understand the information you watched and/or heard about oral health from those printed or electronic materials?
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29. Can you appraise the quality of the information about oral health you watched and/or heard from those printed or electronic materials?
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30. Do you put oral health information you watched and/or heard from printed or electronic materials into practice?
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0 Educational video 0 Television 0 Radio 0 Internet 0 Lecture 0 Movie / cinema 0 Other, which? _______________________ |
0 Never received information 1Interval bigger than 2 years 2In the last 2 years 3In the last year 4In the last 6 months 5In the last month 98 Not applicable 99No answer/Did not know |
0 Never received information 1Did not understand 2Understood poorly 3Understood partially 4Understood almost everything 5Understood everything 98 Not applicable 99No answer/Did not know |
0 Never received information 1Unable 2Able with major difficulty 3Able with some difficulty 4Able with minor difficulty 5Easily able 98 Not applicable 99No answer/Did not know |
0 Never received information 1Never 2Seldom 3Sometimes 4Frequently 5Always 98 Not applicable 99No answer/Did not know |