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* 1. Thank you for participating in this survey. Do not forget to register for a $100 gift card at the end. What is your primary occupation on this date of completing the survey?

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* 2. In which state do you practice?

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* 3. During what decade did you graduate from dental hygiene school?

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* 4. What is your highest level of completed education?

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* 5. On average, how many days per week do you work as a dental hygienist?

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* 6. In how many different settings (multiple dental practices, clinics, etc.), do you render dental hygiene treatment for a salary (non-pro bono) on a monthly basis?

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* 7. Which setting best describes the office(s) where you practice dental hygiene?

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* 8. Are you a member of the American Dental Hygienists’ Association?

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* 9. How are you covered on health insurance?

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* 10. How are you covered on dental insurance?

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* 11. How are you covered on disability insurance?

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* 12. How are you covered on malpractice insurance?

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* 13. Does your employer make any sort of contribution to your retirement plan?

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* 14. How many paid holidays do you receive each year?

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* 15. Are there any holidays that you wish your employer would celebrate with a paid day off? (Please choose the holiday you wish for the most, and do not choose a holiday where you are already paid for the time off.)

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* 16. How many weeks of paid vacation days do you receive each year?

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* 17. Does paid vacation time increase with years of service, or does it remain the same?

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* 18. How many days off can you take for paid sick leave?

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* 19. If you do not take your paid sick leave days, do you receive a cash equivalent?

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* 20. Do you receive paid wellness days?

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* 21. Does your primary employer provide life insurance?

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* 22. Do you receive reimbursement for continuing education credits required for relicensure or for professional development?

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* 23. If a continuing education course falls on a regularly schedule work day, do you get paid a salary when taking the course?

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* 24. Are your uniforms or scrubs provided by your employer?

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* 25. What are other “benefits” that you derive from your employer(s) that are important to you?

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* 26. Do you have any comment that you would like to make about the availability of job benefits as they pertain to dentistry?

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* 27. If you would like to be entered into a drawing for a $100 gift card, please enter your information below. Again, thank you for participating in this survey.

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