Oral cancer survey Question Title * 1. In general, do you feel it is the dental practice's responsibility to screen for any cancers in the head and/or neck region? Yes No Unsure Question Title * 2. Does your office policy include oral cancer screenings? Yes No Question Title * 3. If it is your office's policy to screen patients for oral cancer, how often are your patients screened? At every appointment Once a year Once every other year Less frequently than every other year Our office does not screen for oral cancer Question Title * 4. If it is your office policy to screen patients for oral cancer, what kind of screening do you perform? Extraoral only (a visual and/or tactile examination of all the tissues in the mouth and throat) Intraoral only (using an oral cancer screening device) A combination of extraoral and intraoral Our office does not screen patients for oral cancer Question Title * 5. If it is NOT your office's policy to perform oral cancer screenings, what is the main reason? Cost Time needed for screening Inconvenience for patients Don't feel it is our responsibility We do screenings in our practice Other (please specify) Question Title * 6. Is it your office policy to talk to patients about smoking cessation? Yes No Question Title * 7. Is it your office policy to talk to patients about alcohol moderation and/or cessation? Yes No Question Title * 8. Is it your office policy to talk to patients about the link between HPV (human papillomavirus) and oral cancer? Yes No Question Title * 9. Is it your office policy to talk to patients about the link between HPV (human papillomavirus) and periodontitis? Yes No Question Title * 10. Do you feel uncomfortable talking to your patients about the link between HPV (human papillomavirus) and oral cancer or other dental issues because HPV is a sexual issue? Yes No Question Title * 11. At what age do you feel oral cancer screenings should begin? Patients over the age of 18 only Patients over the age of 30 only Patients over the age of 40 only At any age Question Title * 12. If your practice screens for oral cancer, how cases would you estimate per year are referred to a general physician or specialist? 0 1 2 3 4 5 or more Done