2013 RDH eVillage Job Benefits Survey Question Title * 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? Dental hygienist Dentist Dental assistant Front office staff member Other (please specify) Question Title * 2. In which state do you practice? State: -- select state -- AL AlabamaAK AlaskaAS American SamoaAZ ArizonaAR ArkansasCA CaliforniaCO ColoradoCT ConnecticutDE DelawareDC District of ColumbiaFM Federated States of MicronesiaFL FloridaGA GeorgiaGU GuamHI HawaiiID IdahoIL IllinoisIN IndianaIA IowaKS KansasKY KentuckyLA LouisianaME MaineMH Marshall IslandsMD MarylandMA MassachusettsMI MichiganMN MinnesotaMS MississippiMO MissouriMT MontanaNE NebraskaNV NevadaNH New HampshireNJ New JerseyNM New MexicoNY New YorkNC North CarolinaND North DakotaMP Northern Mariana IslandsOH OhioOK OklahomaOR OregonPW PalauPA PennsylvaniaPR Puerto RicoRI Rhode IslandSC South CarolinaSD South DakotaTN TennesseeTX TexasUT UtahVT VermontVI Virgin IslandsVA VirginiaWA WashingtonWV West VirginiaWI WisconsinWY Wyoming Question Title * 3. During what decade did you graduate from dental hygiene school? 1960s or before 1970s 1980s 1990s After 2000 Question Title * 4. What is your highest level of completed education? Diploma or certificate Associate's degree Bachelor's degree Master's degree Doctoral degree Question Title * 5. On average, how many days per week do you work as a dental hygienist? Unemployed as a dental hygienist One day a week Two days a week Three days a week Four days a week Five days or more a week Question Title * 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? 1 2 3 4 Five or more Question Title * 7. Which setting best describes the office(s) where you practice dental hygiene? Metropolitan area, including suburbs Small town or rural area Question Title * 8. Are you a member of the American Dental Hygienists’ Association? Yes No Other (please specify) Question Title * 9. How are you covered on health insurance? I am uninsured I am covered by a plan provided by my employer I am covered by a plan provided to another family member Other (please specify) Question Title * 10. How are you covered on dental insurance? I am uninsured I am covered by a plan provided by my employer I am covered by a plan provided to another family member I receive dental treatment at reduced cost or for fee in an employer’s office Other (please specify) Question Title * 11. How are you covered on disability insurance? I am uninsured I am covered by a plan provided by my employer I am covered by a plan provided by another source through my own initiative Other (please specify) Question Title * 12. How are you covered on malpractice insurance? I am uninsured I am covered by a plan provided by my employer I am covered by a plan provided by another source through my own initiative Other (please specify) Question Title * 13. Does your employer make any sort of contribution to your retirement plan? I do not have a retirement plan Yes No Uncertain Question Title * 14. How many paid holidays do you receive each year? 0 1 2 3 4 5 6 7 8 9 10 or more Question Title * 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.) Martin Luther King Day President’s Day New Year’s Day Memorial Day Independence Day Labor Day Thanksgiving Day Christmas Eve Christmas Day Your Birthday Other (please specify) Question Title * 16. How many weeks of paid vacation days do you receive each year? 0 1 2 3 or more I work in multiple settings, so accrued time off differs for each office Question Title * 17. Does paid vacation time increase with years of service, or does it remain the same? Not applicable (do not receive any paid vacation time) Increases, based on years of employment Standard policy, does not increase I work in multiple settings, so paid vacation time varies for each office Question Title * 18. How many days off can you take for paid sick leave? 0 paid sick leave time 1 to 5 days 1 to 10 days 1 to 15 days More than 15 days I work in multiple settings, so paid sick leave varies for each office Question Title * 19. If you do not take your paid sick leave days, do you receive a cash equivalent? Yes No Other (please specify) Question Title * 20. Do you receive paid wellness days? 0 paid wellness time 1 to 5 days 1 to 10 days 1 to 15 days More than 15 days Other (please specify) Question Title * 21. Does your primary employer provide life insurance? Yes No Uncertain Question Title * 22. Do you receive reimbursement for continuing education credits required for relicensure or for professional development? Yes, all costs are reimbursed Yes, tuition is reimbursed, but not travel expenses No, all expenses for CE are out of pocket Other (please specify) Question Title * 23. If a continuing education course falls on a regularly schedule work day, do you get paid a salary when taking the course? Yes, I get my hygiene salary for the day No, I do not get my hygiene salary when taking a CE course. Yes, I get paid a continuing education stipend, which is different than my hygiene salary. Question Title * 24. Are your uniforms or scrubs provided by your employer? Yes No Other (please specify) Question Title * 25. What are other “benefits” that you derive from your employer(s) that are important to you? Question Title * 26. Do you have any comment that you would like to make about the availability of job benefits as they pertain to dentistry? Question Title * 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. Name: Email Address: Done