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* 1. What is your age?

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* 2. In what state is your primary dental hygiene practice?

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* 3. What is your current status as a member of the American Dental Hygienists' Association? 

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* 4. Please estimate what percentage of your career has been spent as a member of the ADHA tripartite system (component, state, national).

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* 5. If you have contacted your dental hygiene association about any concern other than renewing membership, was the association's response satisfactory? If you have contacted an association multiple times, consider your most recent queries for this question.

  Yes No Not applicable (no contact made)
Local (component society)
State (constituent society)
National (ADHA)

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* 6. Do you feel like the issues publicly addressed by the ADHA are relevant to your career as a dental hygienist?

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* 7. Are there issues affecting your ability to practice as a dental hygienist that you wish the ADHA would address? If so, can you briefly explain here? Your comments can include, for example, work conditions, oral health trends, consumer perceptions about the dental hygiene profession, licensure issues, national clinical standards, etc..

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* 8. If you are not a current member of your dental hygiene association, what is your primary reason for not joining?

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* 9. If you are a current member, what are the benefits of membership that you believe nonmembers should know?

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* 10. The state dental hygiene association for California recently declined to sign an agreement with the ADHA, and the state terminated its relationship with the ADHA. Do you support the move the state association took?

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* 11. We appreciate your time with this survey. We would like to hear any additional thoughts you have about dental hygiene associations, or even how you believe the profession should evolve during upcoming years.

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