ars.els-cdn.com · web viewsurvey materials: patient perceptions of erosive tooth wear welcome to...

Survey Materials: Patient perceptions of erosive tooth wear

Welcome to our study! The survey will take around 15 minutes and you will receive $0.50 for your participation.Before beginning, please make sure to follow the steps below so that we can get the most from your time and efforts.1. Please silence your cellphone, close out of other windows you may have open on your computer, and move to a quiet distraction-free room to the extent you are able.2. Please maximize your browser window to full screen.Please indicate when you are confident that you will be able to complete this survey with minimal distractions and ready to begin. Then, click the arrow button bellow.

Throughout the survey you will see several dental images and be asked to make a series of judgments. We are interested in your judgments and opinions.

For the following questions please examine the image and decide whether or not there is a dental abnormality present. The images will focus solely on tooth surfaces. We understand that you are not a trained dentist, however we are interested in your general impressions.

We are interested in your judgments of whether or not the following teeth look normal.BEWE_1 ETW 4.9.1 T7

Does the circled tooth look normal?

Yes No

ICDAS 3 car 2.1 T7

Does the circled tooth look normal in the image below?

Yes No

Sound 2.3 T6


Yes No

BEWE 3 ETW 2.1 T6


Yes No

IC 5 car 1.3 T11


Yes No

BEWE 2 ETW 2.3 T5


Yes No

ICDAS 2 car 2.4 T6


Yes No

BEWE 3 ETW 1.4 T9


Yes No

Sound 1.4.1 T 9


Yes No

ICDAS 5 T 9 car 1.4


Yes No

ICDAS 2 T 10 car 1.3


Yes No


Yes No


Yes No


Yes No

Please examine the next several images and imagine these are your teeth. If these were your teeth, rate how likely you would be to schedule a dentist appointment on a scale from extremely unlikely to extremely likely.likBEWE_1 ETW 4.9.1

How likely would you be to schedule a dentist appointment based on the appearance of the circled tooth?

Extremely unlikely Very unlikely Unlikely Likely Very likely

Extremely likely

likICDAS 3 car 2.1 T



Extremely likely

likSound 2.3 T6



Extremely likely

likBEWE 3 ETW 2.1 T6



Extremely likely

likIC 5 car 1.3 T11



Extremely likely




Extremely likely




Extremely likely




Extremely likely

likSound 1.4.1 T9



Extremely likely




Extremely likely



Extremely likely Very likely Unlikely Likely Very likely

Extremely likely

likBEWE 1 DSC 08 T7



Extremely likely




Extremely likely




Extremely likely

Please rate the next several images on how attractive you find the circled tooth on a scale from extremely unattractive to extremely attractive. Please examine each image on its own without comparing it to other images on the page.att_BEWE 1 etw 4.9.1

How attractive would you rate the circled tooth?

Extremely unattractive

Very unattractive Unattractive Attractive

Very Attractive

Extremely attractive

att_IC 3 car 2.1 T 7




Very Attractive


att_sound 2.3 T6




Very Attractive


att_BEWE 3 ETW2.1 T6




Very Attractive


att_IC 5 car 1.3 T11




Very Attractive






Very Attractive


att_IC 2 car 2.4 T6




Very Attractive






Very Attractive


att_sound 1.4.1 T9




Very Attractive


att_IC 5 car 1.4 T9




Very Attractive


att_IC 2 car 1.3 T10




Very Attractive


att_DSC_08_BEWE 1 T7




Very Attractive


att_ICDAS 3 T 8 C1.4




Very Attractive






Very Attractive


Background Information

We are collecting some basic background information on all participants in this study. Please complete the questions below.gender

What is your gender? Male

Female

Otherage

What is your age?

ethnicity

What is your ethnicity? Hispanic

Not Hispanicrace

What do you most consider yourself to be? White/Caucasian

Black/African-American

Latino

Native American/American Indian

Asian-American/Pacific Islander

Arab-American/Middle Eastern

Other, please specify:

country

In which country were you born?

english

Is English your first language? Yes

No

What is your marital status? Single, never married

Married or domestic partnership

Widowed

Divorced

SeparatedQ235

What is your highest level of education? Less than high school

High school graduate

Some college

2 year degree

4 year degree

Professional degree

Doctorateincome

What was your total household income before taxes during the past 12 months?

Less than $25,000 $75,000 to $99,999

$25,000 to $34,999 $100,000 to $149,999

$35,000 to $49,999 $150,000 or more

$50,000 to $74,999long_dentist

Approximately how long has it been since your last dentist appointment?

Less than 6 months 3-5 years

Between 6 months and 1 year 5-10 years

1-1.5 years 10-20 years

1.5-3 years over 20 years

Thank you very much for your participation!

ars.els-cdn.com · web viewsurvey materials: patient perceptions of erosive tooth wear welcome to...

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