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  1. Surveys
  2. 2014
  3. February
  4. A
  5. Assessment of oral and dental cares provided in Ca
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Exit Survey
 
 
Hello:
You are invited to participate in our survey [Assessment of oral and dental cares provided in Canadian seniors long-term care facilities]. It will take approximately 5 minutes to complete the questionnaire.

Your participation in this study is completely voluntary. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can withdraw from the survey at any point. It is very important for us to learn your opinions.

Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. If you have questions at any time about the survey or the procedures, you may contact [Nadia Garbouri] at [[email protected]].

If you answer "no" to question 1 or 2 you don't have to answer to the following questions.

Thank you very much for your time and support. Please start with the survey now by clicking on the Continue button below.
 
 
 
1. Does your facility provide seniors long-term care?
 
Yes
 
No
 
 
 
2. Is your facility government-funded (or publicly funded)?
 
Yes
 
No
 
 
 
3. How many residents live in your facility?
   
 
 
 
4. Does your facility have an Oral Hygiene/Treatment Plan of Care?
 
Yes
 
No
 
 
 
5. Is your facility equipped with an on-site dental clinic?
 
Yes
 
No
 
 
 
6. How many chairs are they in the on-site clinic at your facility?
   
 
 
 
7. If there is no on-site dental clinic, is mobile dental equipment used to provide exams and basic dental care at bedside?
 
Yes
 
No
 
 
 
8. If your facility cannot offer on-site dental care services, does your facility organize arrangements for off-site dental care services?
 
Yes
 
No
 
 
 
9. For off-site dental care services, are the residents transferred to a hospital or to another healthcare center?
 
Yes
 
No
 
 
 
10. Are the arrangements for off-site dental care services the family responsibility or the facility responsibility or both?
 
Family
 
Facility
 
Both