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Pregnant women can fill out this survey.
How often do you brush your teeth?
How often do you floss your teeth?
Have you ever had a cavity?
Have you ever had gum disease?
Have you ever been to the dentist during pregnancy?
Are you currently pregnant?
How many weeks pregnant are you?
Do you have dental insurance?
How likely are you to visit the dentist in the next six months?
How satisfied are you with your oral health?