BRFSS 1995                                                                         MODULE 9:  ORAL HEALTH

1

253

Q1.  How long has it been since you last visited  the dentist or a dental clinic?

1= Within the past year  (1 to 12 months ago)
2= Within the past 2 years  (1 to 2 years ago)
3= Within the past 5 years  (2 to 5 years ago)
4= 5 or more years ago
7= Don't know/Not sure
8= Never
9= Refused

 2

254-255

 Q2.  What is the main reason you have not visited the dentist in the last year?

01= Fear, apprehension, nervousness, pain,   dislike going
02= Cost
03= Do not have/know a dentist
04= Cannot get to the office/clinic (too far away, no transportation, no appointments available)
05= No reason to go (no problems, no teeth)
06= Other priorities
07= Have not thought of it
08= Other
77= Don't know/Not sure
99= Refused

3

 256

Q3.  How many of your permanent teeth have been removed because of tooth decay or gum disease?  Do not include teeth lost for other reasons, such as injury or orthodontics?

1= 5 or fewer
2= 6 or more, but not all
3= All
8= None
7= Don't know/Not sure
9= Refused

4

 257

 Q4.  Do you have any kind of insurance coverage that pays for some or all of your routine dental care, including dental insurance, prepaid plans such as HMOs, or government plans such as Medicaid?

1= Yes
2= No
7= Don't know/Not sure
9= Refused