2017 Dental Practice Wage Survey Questionnaire

9. Non-owner associate doctor compensation
If not applicable to your practice, please proceed to the next question

	Years of experience				Method of compensation							Compensation detail (Indicate the percent or dollars paid based on method of compensation selected)	Full-time or part-time (PT is less than 32 hrs)		Retirement plan coverage		Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
	0-2 Years	3-5 Years	6-10 Years	Over 10 Years	Fixed annual salary	Hourly rate of pay	Daily rate of pay	Weekly rate of pay	Percentage (%) of production	Percentage (%) of collections	Other		FT	PT	Yes	No
1.	1.: Years of experience: 0-2 Years	1.: Years of experience: 3-5 Years	1.: Years of experience: 6-10 Years	1.: Years of experience: Over 10 Years	1.: Method of compensation: Fixed annual salary	1.: Method of compensation: Hourly rate of pay	1.: Method of compensation: Daily rate of pay	1.: Method of compensation: Weekly rate of pay	1.: Method of compensation: Percentage (%) of production	1.: Method of compensation: Percentage (%) of collections	1.: Method of compensation: Other	Compensation detail (Indicate the percent or dollars paid based on method of compensation selected)	1.: Full-time or part-time (PT is less than 32 hrs): FT	1.: Full-time or part-time (PT is less than 32 hrs): PT	1.: Retirement plan coverage: Yes	1.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
2.	2.: Years of experience: 0-2 Years	2.: Years of experience: 3-5 Years	2.: Years of experience: 6-10 Years	2.: Years of experience: Over 10 Years	2.: Method of compensation: Fixed annual salary	2.: Method of compensation: Hourly rate of pay	2.: Method of compensation: Daily rate of pay	2.: Method of compensation: Weekly rate of pay	2.: Method of compensation: Percentage (%) of production	2.: Method of compensation: Percentage (%) of collections	2.: Method of compensation: Other	Compensation detail (Indicate the percent or dollars paid based on method of compensation selected)	2.: Full-time or part-time (PT is less than 32 hrs): FT	2.: Full-time or part-time (PT is less than 32 hrs): PT	2.: Retirement plan coverage: Yes	2.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
3.	3.: Years of experience: 0-2 Years	3.: Years of experience: 3-5 Years	3.: Years of experience: 6-10 Years	3.: Years of experience: Over 10 Years	3.: Method of compensation: Fixed annual salary	3.: Method of compensation: Hourly rate of pay	3.: Method of compensation: Daily rate of pay	3.: Method of compensation: Weekly rate of pay	3.: Method of compensation: Percentage (%) of production	3.: Method of compensation: Percentage (%) of collections	3.: Method of compensation: Other	Compensation detail (Indicate the percent or dollars paid based on method of compensation selected)	3.: Full-time or part-time (PT is less than 32 hrs): FT	3.: Full-time or part-time (PT is less than 32 hrs): PT	3.: Retirement plan coverage: Yes	3.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
4.	4.: Years of experience: 0-2 Years	4.: Years of experience: 3-5 Years	4.: Years of experience: 6-10 Years	4.: Years of experience: Over 10 Years	4.: Method of compensation: Fixed annual salary	4.: Method of compensation: Hourly rate of pay	4.: Method of compensation: Daily rate of pay	4.: Method of compensation: Weekly rate of pay	4.: Method of compensation: Percentage (%) of production	4.: Method of compensation: Percentage (%) of collections	4.: Method of compensation: Other	Compensation detail (Indicate the percent or dollars paid based on method of compensation selected)	4.: Full-time or part-time (PT is less than 32 hrs): FT	4.: Full-time or part-time (PT is less than 32 hrs): PT	4.: Retirement plan coverage: Yes	4.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)

10. Team compensation

	Position							Years of experience				Hourly rate	Full-time or part-time (PT is less than 32 hrs)		Retirement plan coverage		Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
	Dental Assistant	Financial Coordinator	Front Desk/Admin/Billing Clerk	Hygienist	Office Manager	Registered Dental Assistant	Treatment Coordinator	0-2 Years	3-5 Years	6-10 Years	Over 10 Years		FT	PT	Yes	No
1.	1.: Position: Dental Assistant	1.: Position: Financial Coordinator	1.: Position: Front Desk/Admin/Billing Clerk	1.: Position: Hygienist	1.: Position: Office Manager	1.: Position: Registered Dental Assistant	1.: Position: Treatment Coordinator	1.: Years of experience: 0-2 Years	1.: Years of experience: 3-5 Years	1.: Years of experience: 6-10 Years	1.: Years of experience: Over 10 Years	Hourly rate	1.: Full-time or part-time (PT is less than 32 hrs): FT	1.: Full-time or part-time (PT is less than 32 hrs): PT	1.: Retirement plan coverage: Yes	1.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
2.	2.: Position: Dental Assistant	2.: Position: Financial Coordinator	2.: Position: Front Desk/Admin/Billing Clerk	2.: Position: Hygienist	2.: Position: Office Manager	2.: Position: Registered Dental Assistant	2.: Position: Treatment Coordinator	2.: Years of experience: 0-2 Years	2.: Years of experience: 3-5 Years	2.: Years of experience: 6-10 Years	2.: Years of experience: Over 10 Years	Hourly rate	2.: Full-time or part-time (PT is less than 32 hrs): FT	2.: Full-time or part-time (PT is less than 32 hrs): PT	2.: Retirement plan coverage: Yes	2.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
3.	3.: Position: Dental Assistant	3.: Position: Financial Coordinator	3.: Position: Front Desk/Admin/Billing Clerk	3.: Position: Hygienist	3.: Position: Office Manager	3.: Position: Registered Dental Assistant	3.: Position: Treatment Coordinator	3.: Years of experience: 0-2 Years	3.: Years of experience: 3-5 Years	3.: Years of experience: 6-10 Years	3.: Years of experience: Over 10 Years	Hourly rate	3.: Full-time or part-time (PT is less than 32 hrs): FT	3.: Full-time or part-time (PT is less than 32 hrs): PT	3.: Retirement plan coverage: Yes	3.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
4.	4.: Position: Dental Assistant	4.: Position: Financial Coordinator	4.: Position: Front Desk/Admin/Billing Clerk	4.: Position: Hygienist	4.: Position: Office Manager	4.: Position: Registered Dental Assistant	4.: Position: Treatment Coordinator	4.: Years of experience: 0-2 Years	4.: Years of experience: 3-5 Years	4.: Years of experience: 6-10 Years	4.: Years of experience: Over 10 Years	Hourly rate	4.: Full-time or part-time (PT is less than 32 hrs): FT	4.: Full-time or part-time (PT is less than 32 hrs): PT	4.: Retirement plan coverage: Yes	4.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
5.	5.: Position: Dental Assistant	5.: Position: Financial Coordinator	5.: Position: Front Desk/Admin/Billing Clerk	5.: Position: Hygienist	5.: Position: Office Manager	5.: Position: Registered Dental Assistant	5.: Position: Treatment Coordinator	5.: Years of experience: 0-2 Years	5.: Years of experience: 3-5 Years	5.: Years of experience: 6-10 Years	5.: Years of experience: Over 10 Years	Hourly rate	5.: Full-time or part-time (PT is less than 32 hrs): FT	5.: Full-time or part-time (PT is less than 32 hrs): PT	5.: Retirement plan coverage: Yes	5.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
6.	6.: Position: Dental Assistant	6.: Position: Financial Coordinator	6.: Position: Front Desk/Admin/Billing Clerk	6.: Position: Hygienist	6.: Position: Office Manager	6.: Position: Registered Dental Assistant	6.: Position: Treatment Coordinator	6.: Years of experience: 0-2 Years	6.: Years of experience: 3-5 Years	6.: Years of experience: 6-10 Years	6.: Years of experience: Over 10 Years	Hourly rate	6.: Full-time or part-time (PT is less than 32 hrs): FT	6.: Full-time or part-time (PT is less than 32 hrs): PT	6.: Retirement plan coverage: Yes	6.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
7.	7.: Position: Dental Assistant	7.: Position: Financial Coordinator	7.: Position: Front Desk/Admin/Billing Clerk	7.: Position: Hygienist	7.: Position: Office Manager	7.: Position: Registered Dental Assistant	7.: Position: Treatment Coordinator	7.: Years of experience: 0-2 Years	7.: Years of experience: 3-5 Years	7.: Years of experience: 6-10 Years	7.: Years of experience: Over 10 Years	Hourly rate	7.: Full-time or part-time (PT is less than 32 hrs): FT	7.: Full-time or part-time (PT is less than 32 hrs): PT	7.: Retirement plan coverage: Yes	7.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
8.	8.: Position: Dental Assistant	8.: Position: Financial Coordinator	8.: Position: Front Desk/Admin/Billing Clerk	8.: Position: Hygienist	8.: Position: Office Manager	8.: Position: Registered Dental Assistant	8.: Position: Treatment Coordinator	8.: Years of experience: 0-2 Years	8.: Years of experience: 3-5 Years	8.: Years of experience: 6-10 Years	8.: Years of experience: Over 10 Years	Hourly rate	8.: Full-time or part-time (PT is less than 32 hrs): FT	8.: Full-time or part-time (PT is less than 32 hrs): PT	8.: Retirement plan coverage: Yes	8.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
9.	9.: Position: Dental Assistant	9.: Position: Financial Coordinator	9.: Position: Front Desk/Admin/Billing Clerk	9.: Position: Hygienist	9.: Position: Office Manager	9.: Position: Registered Dental Assistant	9.: Position: Treatment Coordinator	9.: Years of experience: 0-2 Years	9.: Years of experience: 3-5 Years	9.: Years of experience: 6-10 Years	9.: Years of experience: Over 10 Years	Hourly rate	9.: Full-time or part-time (PT is less than 32 hrs): FT	9.: Full-time or part-time (PT is less than 32 hrs): PT	9.: Retirement plan coverage: Yes	9.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
10.	10.: Position: Dental Assistant	10.: Position: Financial Coordinator	10.: Position: Front Desk/Admin/Billing Clerk	10.: Position: Hygienist	10.: Position: Office Manager	10.: Position: Registered Dental Assistant	10.: Position: Treatment Coordinator	10.: Years of experience: 0-2 Years	10.: Years of experience: 3-5 Years	10.: Years of experience: 6-10 Years	10.: Years of experience: Over 10 Years	Hourly rate	10.: Full-time or part-time (PT is less than 32 hrs): FT	10.: Full-time or part-time (PT is less than 32 hrs): PT	10.: Retirement plan coverage: Yes	10.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
11.	11.: Position: Dental Assistant	11.: Position: Financial Coordinator	11.: Position: Front Desk/Admin/Billing Clerk	11.: Position: Hygienist	11.: Position: Office Manager	11.: Position: Registered Dental Assistant	11.: Position: Treatment Coordinator	11.: Years of experience: 0-2 Years	11.: Years of experience: 3-5 Years	11.: Years of experience: 6-10 Years	11.: Years of experience: Over 10 Years	Hourly rate	11.: Full-time or part-time (PT is less than 32 hrs): FT	11.: Full-time or part-time (PT is less than 32 hrs): PT	11.: Retirement plan coverage: Yes	11.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
12.	12.: Position: Dental Assistant	12.: Position: Financial Coordinator	12.: Position: Front Desk/Admin/Billing Clerk	12.: Position: Hygienist	12.: Position: Office Manager	12.: Position: Registered Dental Assistant	12.: Position: Treatment Coordinator	12.: Years of experience: 0-2 Years	12.: Years of experience: 3-5 Years	12.: Years of experience: 6-10 Years	12.: Years of experience: Over 10 Years	Hourly rate	12.: Full-time or part-time (PT is less than 32 hrs): FT	12.: Full-time or part-time (PT is less than 32 hrs): PT	12.: Retirement plan coverage: Yes	12.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
13.	13.: Position: Dental Assistant	13.: Position: Financial Coordinator	13.: Position: Front Desk/Admin/Billing Clerk	13.: Position: Hygienist	13.: Position: Office Manager	13.: Position: Registered Dental Assistant	13.: Position: Treatment Coordinator	13.: Years of experience: 0-2 Years	13.: Years of experience: 3-5 Years	13.: Years of experience: 6-10 Years	13.: Years of experience: Over 10 Years	Hourly rate	13.: Full-time or part-time (PT is less than 32 hrs): FT	13.: Full-time or part-time (PT is less than 32 hrs): PT	13.: Retirement plan coverage: Yes	13.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
14.	14.: Position: Dental Assistant	14.: Position: Financial Coordinator	14.: Position: Front Desk/Admin/Billing Clerk	14.: Position: Hygienist	14.: Position: Office Manager	14.: Position: Registered Dental Assistant	14.: Position: Treatment Coordinator	14.: Years of experience: 0-2 Years	14.: Years of experience: 3-5 Years	14.: Years of experience: 6-10 Years	14.: Years of experience: Over 10 Years	Hourly rate	14.: Full-time or part-time (PT is less than 32 hrs): FT	14.: Full-time or part-time (PT is less than 32 hrs): PT	14.: Retirement plan coverage: Yes	14.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
15.	15.: Position: Dental Assistant	15.: Position: Financial Coordinator	15.: Position: Front Desk/Admin/Billing Clerk	15.: Position: Hygienist	15.: Position: Office Manager	15.: Position: Registered Dental Assistant	15.: Position: Treatment Coordinator	15.: Years of experience: 0-2 Years	15.: Years of experience: 3-5 Years	15.: Years of experience: 6-10 Years	15.: Years of experience: Over 10 Years	Hourly rate	15.: Full-time or part-time (PT is less than 32 hrs): FT	15.: Full-time or part-time (PT is less than 32 hrs): PT	15.: Retirement plan coverage: Yes	15.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
16.	16.: Position: Dental Assistant	16.: Position: Financial Coordinator	16.: Position: Front Desk/Admin/Billing Clerk	16.: Position: Hygienist	16.: Position: Office Manager	16.: Position: Registered Dental Assistant	16.: Position: Treatment Coordinator	16.: Years of experience: 0-2 Years	16.: Years of experience: 3-5 Years	16.: Years of experience: 6-10 Years	16.: Years of experience: Over 10 Years	Hourly rate	16.: Full-time or part-time (PT is less than 32 hrs): FT	16.: Full-time or part-time (PT is less than 32 hrs): PT	16.: Retirement plan coverage: Yes	16.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
17.	17.: Position: Dental Assistant	17.: Position: Financial Coordinator	17.: Position: Front Desk/Admin/Billing Clerk	17.: Position: Hygienist	17.: Position: Office Manager	17.: Position: Registered Dental Assistant	17.: Position: Treatment Coordinator	17.: Years of experience: 0-2 Years	17.: Years of experience: 3-5 Years	17.: Years of experience: 6-10 Years	17.: Years of experience: Over 10 Years	Hourly rate	17.: Full-time or part-time (PT is less than 32 hrs): FT	17.: Full-time or part-time (PT is less than 32 hrs): PT	17.: Retirement plan coverage: Yes	17.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
18.	18.: Position: Dental Assistant	18.: Position: Financial Coordinator	18.: Position: Front Desk/Admin/Billing Clerk	18.: Position: Hygienist	18.: Position: Office Manager	18.: Position: Registered Dental Assistant	18.: Position: Treatment Coordinator	18.: Years of experience: 0-2 Years	18.: Years of experience: 3-5 Years	18.: Years of experience: 6-10 Years	18.: Years of experience: Over 10 Years	Hourly rate	18.: Full-time or part-time (PT is less than 32 hrs): FT	18.: Full-time or part-time (PT is less than 32 hrs): PT	18.: Retirement plan coverage: Yes	18.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
19.	19.: Position: Dental Assistant	19.: Position: Financial Coordinator	19.: Position: Front Desk/Admin/Billing Clerk	19.: Position: Hygienist	19.: Position: Office Manager	19.: Position: Registered Dental Assistant	19.: Position: Treatment Coordinator	19.: Years of experience: 0-2 Years	19.: Years of experience: 3-5 Years	19.: Years of experience: 6-10 Years	19.: Years of experience: Over 10 Years	Hourly rate	19.: Full-time or part-time (PT is less than 32 hrs): FT	19.: Full-time or part-time (PT is less than 32 hrs): PT	19.: Retirement plan coverage: Yes	19.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
20.	20.: Position: Dental Assistant	20.: Position: Financial Coordinator	20.: Position: Front Desk/Admin/Billing Clerk	20.: Position: Hygienist	20.: Position: Office Manager	20.: Position: Registered Dental Assistant	20.: Position: Treatment Coordinator	20.: Years of experience: 0-2 Years	20.: Years of experience: 3-5 Years	20.: Years of experience: 6-10 Years	20.: Years of experience: Over 10 Years	Hourly rate	20.: Full-time or part-time (PT is less than 32 hrs): FT	20.: Full-time or part-time (PT is less than 32 hrs): PT	20.: Retirement plan coverage: Yes	20.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
21.	21.: Position: Dental Assistant	21.: Position: Financial Coordinator	21.: Position: Front Desk/Admin/Billing Clerk	21.: Position: Hygienist	21.: Position: Office Manager	21.: Position: Registered Dental Assistant	21.: Position: Treatment Coordinator	21.: Years of experience: 0-2 Years	21.: Years of experience: 3-5 Years	21.: Years of experience: 6-10 Years	21.: Years of experience: Over 10 Years	Hourly rate	21.: Full-time or part-time (PT is less than 32 hrs): FT	21.: Full-time or part-time (PT is less than 32 hrs): PT	21.: Retirement plan coverage: Yes	21.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
22.	22.: Position: Dental Assistant	22.: Position: Financial Coordinator	22.: Position: Front Desk/Admin/Billing Clerk	22.: Position: Hygienist	22.: Position: Office Manager	22.: Position: Registered Dental Assistant	22.: Position: Treatment Coordinator	22.: Years of experience: 0-2 Years	22.: Years of experience: 3-5 Years	22.: Years of experience: 6-10 Years	22.: Years of experience: Over 10 Years	Hourly rate	22.: Full-time or part-time (PT is less than 32 hrs): FT	22.: Full-time or part-time (PT is less than 32 hrs): PT	22.: Retirement plan coverage: Yes	22.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
23.	23.: Position: Dental Assistant	23.: Position: Financial Coordinator	23.: Position: Front Desk/Admin/Billing Clerk	23.: Position: Hygienist	23.: Position: Office Manager	23.: Position: Registered Dental Assistant	23.: Position: Treatment Coordinator	23.: Years of experience: 0-2 Years	23.: Years of experience: 3-5 Years	23.: Years of experience: 6-10 Years	23.: Years of experience: Over 10 Years	Hourly rate	23.: Full-time or part-time (PT is less than 32 hrs): FT	23.: Full-time or part-time (PT is less than 32 hrs): PT	23.: Retirement plan coverage: Yes	23.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
24.	24.: Position: Dental Assistant	24.: Position: Financial Coordinator	24.: Position: Front Desk/Admin/Billing Clerk	24.: Position: Hygienist	24.: Position: Office Manager	24.: Position: Registered Dental Assistant	24.: Position: Treatment Coordinator	24.: Years of experience: 0-2 Years	24.: Years of experience: 3-5 Years	24.: Years of experience: 6-10 Years	24.: Years of experience: Over 10 Years	Hourly rate	24.: Full-time or part-time (PT is less than 32 hrs): FT	24.: Full-time or part-time (PT is less than 32 hrs): PT	24.: Retirement plan coverage: Yes	24.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
25.	25.: Position: Dental Assistant	25.: Position: Financial Coordinator	25.: Position: Front Desk/Admin/Billing Clerk	25.: Position: Hygienist	25.: Position: Office Manager	25.: Position: Registered Dental Assistant	25.: Position: Treatment Coordinator	25.: Years of experience: 0-2 Years	25.: Years of experience: 3-5 Years	25.: Years of experience: 6-10 Years	25.: Years of experience: Over 10 Years	Hourly rate	25.: Full-time or part-time (PT is less than 32 hrs): FT	25.: Full-time or part-time (PT is less than 32 hrs): PT	25.: Retirement plan coverage: Yes	25.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
26.	26.: Position: Dental Assistant	26.: Position: Financial Coordinator	26.: Position: Front Desk/Admin/Billing Clerk	26.: Position: Hygienist	26.: Position: Office Manager	26.: Position: Registered Dental Assistant	26.: Position: Treatment Coordinator	26.: Years of experience: 0-2 Years	26.: Years of experience: 3-5 Years	26.: Years of experience: 6-10 Years	26.: Years of experience: Over 10 Years	Hourly rate	26.: Full-time or part-time (PT is less than 32 hrs): FT	26.: Full-time or part-time (PT is less than 32 hrs): PT	26.: Retirement plan coverage: Yes	26.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
27.	27.: Position: Dental Assistant	27.: Position: Financial Coordinator	27.: Position: Front Desk/Admin/Billing Clerk	27.: Position: Hygienist	27.: Position: Office Manager	27.: Position: Registered Dental Assistant	27.: Position: Treatment Coordinator	27.: Years of experience: 0-2 Years	27.: Years of experience: 3-5 Years	27.: Years of experience: 6-10 Years	27.: Years of experience: Over 10 Years	Hourly rate	27.: Full-time or part-time (PT is less than 32 hrs): FT	27.: Full-time or part-time (PT is less than 32 hrs): PT	27.: Retirement plan coverage: Yes	27.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
28.	28.: Position: Dental Assistant	28.: Position: Financial Coordinator	28.: Position: Front Desk/Admin/Billing Clerk	28.: Position: Hygienist	28.: Position: Office Manager	28.: Position: Registered Dental Assistant	28.: Position: Treatment Coordinator	28.: Years of experience: 0-2 Years	28.: Years of experience: 3-5 Years	28.: Years of experience: 6-10 Years	28.: Years of experience: Over 10 Years	Hourly rate	28.: Full-time or part-time (PT is less than 32 hrs): FT	28.: Full-time or part-time (PT is less than 32 hrs): PT	28.: Retirement plan coverage: Yes	28.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
29.	29.: Position: Dental Assistant	29.: Position: Financial Coordinator	29.: Position: Front Desk/Admin/Billing Clerk	29.: Position: Hygienist	29.: Position: Office Manager	29.: Position: Registered Dental Assistant	29.: Position: Treatment Coordinator	29.: Years of experience: 0-2 Years	29.: Years of experience: 3-5 Years	29.: Years of experience: 6-10 Years	29.: Years of experience: Over 10 Years	Hourly rate	29.: Full-time or part-time (PT is less than 32 hrs): FT	29.: Full-time or part-time (PT is less than 32 hrs): PT	29.: Retirement plan coverage: Yes	29.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
30.	30.: Position: Dental Assistant	30.: Position: Financial Coordinator	30.: Position: Front Desk/Admin/Billing Clerk	30.: Position: Hygienist	30.: Position: Office Manager	30.: Position: Registered Dental Assistant	30.: Position: Treatment Coordinator	30.: Years of experience: 0-2 Years	30.: Years of experience: 3-5 Years	30.: Years of experience: 6-10 Years	30.: Years of experience: Over 10 Years	Hourly rate	30.: Full-time or part-time (PT is less than 32 hrs): FT	30.: Full-time or part-time (PT is less than 32 hrs): PT	30.: Retirement plan coverage: Yes	30.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
31.	31.: Position: Dental Assistant	31.: Position: Financial Coordinator	31.: Position: Front Desk/Admin/Billing Clerk	31.: Position: Hygienist	31.: Position: Office Manager	31.: Position: Registered Dental Assistant	31.: Position: Treatment Coordinator	31.: Years of experience: 0-2 Years	31.: Years of experience: 3-5 Years	31.: Years of experience: 6-10 Years	31.: Years of experience: Over 10 Years	Hourly rate	31.: Full-time or part-time (PT is less than 32 hrs): FT	31.: Full-time or part-time (PT is less than 32 hrs): PT	31.: Retirement plan coverage: Yes	31.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
32.	32.: Position: Dental Assistant	32.: Position: Financial Coordinator	32.: Position: Front Desk/Admin/Billing Clerk	32.: Position: Hygienist	32.: Position: Office Manager	32.: Position: Registered Dental Assistant	32.: Position: Treatment Coordinator	32.: Years of experience: 0-2 Years	32.: Years of experience: 3-5 Years	32.: Years of experience: 6-10 Years	32.: Years of experience: Over 10 Years	Hourly rate	32.: Full-time or part-time (PT is less than 32 hrs): FT	32.: Full-time or part-time (PT is less than 32 hrs): PT	32.: Retirement plan coverage: Yes	32.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
33.	33.: Position: Dental Assistant	33.: Position: Financial Coordinator	33.: Position: Front Desk/Admin/Billing Clerk	33.: Position: Hygienist	33.: Position: Office Manager	33.: Position: Registered Dental Assistant	33.: Position: Treatment Coordinator	33.: Years of experience: 0-2 Years	33.: Years of experience: 3-5 Years	33.: Years of experience: 6-10 Years	33.: Years of experience: Over 10 Years	Hourly rate	33.: Full-time or part-time (PT is less than 32 hrs): FT	33.: Full-time or part-time (PT is less than 32 hrs): PT	33.: Retirement plan coverage: Yes	33.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
34.	34.: Position: Dental Assistant	34.: Position: Financial Coordinator	34.: Position: Front Desk/Admin/Billing Clerk	34.: Position: Hygienist	34.: Position: Office Manager	34.: Position: Registered Dental Assistant	34.: Position: Treatment Coordinator	34.: Years of experience: 0-2 Years	34.: Years of experience: 3-5 Years	34.: Years of experience: 6-10 Years	34.: Years of experience: Over 10 Years	Hourly rate	34.: Full-time or part-time (PT is less than 32 hrs): FT	34.: Full-time or part-time (PT is less than 32 hrs): PT	34.: Retirement plan coverage: Yes	34.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
35.	35.: Position: Dental Assistant	35.: Position: Financial Coordinator	35.: Position: Front Desk/Admin/Billing Clerk	35.: Position: Hygienist	35.: Position: Office Manager	35.: Position: Registered Dental Assistant	35.: Position: Treatment Coordinator	35.: Years of experience: 0-2 Years	35.: Years of experience: 3-5 Years	35.: Years of experience: 6-10 Years	35.: Years of experience: Over 10 Years	Hourly rate	35.: Full-time or part-time (PT is less than 32 hrs): FT	35.: Full-time or part-time (PT is less than 32 hrs): PT	35.: Retirement plan coverage: Yes	35.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
36.	36.: Position: Dental Assistant	36.: Position: Financial Coordinator	36.: Position: Front Desk/Admin/Billing Clerk	36.: Position: Hygienist	36.: Position: Office Manager	36.: Position: Registered Dental Assistant	36.: Position: Treatment Coordinator	36.: Years of experience: 0-2 Years	36.: Years of experience: 3-5 Years	36.: Years of experience: 6-10 Years	36.: Years of experience: Over 10 Years	Hourly rate	36.: Full-time or part-time (PT is less than 32 hrs): FT	36.: Full-time or part-time (PT is less than 32 hrs): PT	36.: Retirement plan coverage: Yes	36.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
37.	37.: Position: Dental Assistant	37.: Position: Financial Coordinator	37.: Position: Front Desk/Admin/Billing Clerk	37.: Position: Hygienist	37.: Position: Office Manager	37.: Position: Registered Dental Assistant	37.: Position: Treatment Coordinator	37.: Years of experience: 0-2 Years	37.: Years of experience: 3-5 Years	37.: Years of experience: 6-10 Years	37.: Years of experience: Over 10 Years	Hourly rate	37.: Full-time or part-time (PT is less than 32 hrs): FT	37.: Full-time or part-time (PT is less than 32 hrs): PT	37.: Retirement plan coverage: Yes	37.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
38.	38.: Position: Dental Assistant	38.: Position: Financial Coordinator	38.: Position: Front Desk/Admin/Billing Clerk	38.: Position: Hygienist	38.: Position: Office Manager	38.: Position: Registered Dental Assistant	38.: Position: Treatment Coordinator	38.: Years of experience: 0-2 Years	38.: Years of experience: 3-5 Years	38.: Years of experience: 6-10 Years	38.: Years of experience: Over 10 Years	Hourly rate	38.: Full-time or part-time (PT is less than 32 hrs): FT	38.: Full-time or part-time (PT is less than 32 hrs): PT	38.: Retirement plan coverage: Yes	38.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
39.	39.: Position: Dental Assistant	39.: Position: Financial Coordinator	39.: Position: Front Desk/Admin/Billing Clerk	39.: Position: Hygienist	39.: Position: Office Manager	39.: Position: Registered Dental Assistant	39.: Position: Treatment Coordinator	39.: Years of experience: 0-2 Years	39.: Years of experience: 3-5 Years	39.: Years of experience: 6-10 Years	39.: Years of experience: Over 10 Years	Hourly rate	39.: Full-time or part-time (PT is less than 32 hrs): FT	39.: Full-time or part-time (PT is less than 32 hrs): PT	39.: Retirement plan coverage: Yes	39.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
40.	40.: Position: Dental Assistant	40.: Position: Financial Coordinator	40.: Position: Front Desk/Admin/Billing Clerk	40.: Position: Hygienist	40.: Position: Office Manager	40.: Position: Registered Dental Assistant	40.: Position: Treatment Coordinator	40.: Years of experience: 0-2 Years	40.: Years of experience: 3-5 Years	40.: Years of experience: 6-10 Years	40.: Years of experience: Over 10 Years	Hourly rate	40.: Full-time or part-time (PT is less than 32 hrs): FT	40.: Full-time or part-time (PT is less than 32 hrs): PT	40.: Retirement plan coverage: Yes	40.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
41.	41.: Position: Dental Assistant	41.: Position: Financial Coordinator	41.: Position: Front Desk/Admin/Billing Clerk	41.: Position: Hygienist	41.: Position: Office Manager	41.: Position: Registered Dental Assistant	41.: Position: Treatment Coordinator	41.: Years of experience: 0-2 Years	41.: Years of experience: 3-5 Years	41.: Years of experience: 6-10 Years	41.: Years of experience: Over 10 Years	Hourly rate	41.: Full-time or part-time (PT is less than 32 hrs): FT	41.: Full-time or part-time (PT is less than 32 hrs): PT	41.: Retirement plan coverage: Yes	41.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
42.	42.: Position: Dental Assistant	42.: Position: Financial Coordinator	42.: Position: Front Desk/Admin/Billing Clerk	42.: Position: Hygienist	42.: Position: Office Manager	42.: Position: Registered Dental Assistant	42.: Position: Treatment Coordinator	42.: Years of experience: 0-2 Years	42.: Years of experience: 3-5 Years	42.: Years of experience: 6-10 Years	42.: Years of experience: Over 10 Years	Hourly rate	42.: Full-time or part-time (PT is less than 32 hrs): FT	42.: Full-time or part-time (PT is less than 32 hrs): PT	42.: Retirement plan coverage: Yes	42.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
43.	43.: Position: Dental Assistant	43.: Position: Financial Coordinator	43.: Position: Front Desk/Admin/Billing Clerk	43.: Position: Hygienist	43.: Position: Office Manager	43.: Position: Registered Dental Assistant	43.: Position: Treatment Coordinator	43.: Years of experience: 0-2 Years	43.: Years of experience: 3-5 Years	43.: Years of experience: 6-10 Years	43.: Years of experience: Over 10 Years	Hourly rate	43.: Full-time or part-time (PT is less than 32 hrs): FT	43.: Full-time or part-time (PT is less than 32 hrs): PT	43.: Retirement plan coverage: Yes	43.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
44.	44.: Position: Dental Assistant	44.: Position: Financial Coordinator	44.: Position: Front Desk/Admin/Billing Clerk	44.: Position: Hygienist	44.: Position: Office Manager	44.: Position: Registered Dental Assistant	44.: Position: Treatment Coordinator	44.: Years of experience: 0-2 Years	44.: Years of experience: 3-5 Years	44.: Years of experience: 6-10 Years	44.: Years of experience: Over 10 Years	Hourly rate	44.: Full-time or part-time (PT is less than 32 hrs): FT	44.: Full-time or part-time (PT is less than 32 hrs): PT	44.: Retirement plan coverage: Yes	44.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
45.	45.: Position: Dental Assistant	45.: Position: Financial Coordinator	45.: Position: Front Desk/Admin/Billing Clerk	45.: Position: Hygienist	45.: Position: Office Manager	45.: Position: Registered Dental Assistant	45.: Position: Treatment Coordinator	45.: Years of experience: 0-2 Years	45.: Years of experience: 3-5 Years	45.: Years of experience: 6-10 Years	45.: Years of experience: Over 10 Years	Hourly rate	45.: Full-time or part-time (PT is less than 32 hrs): FT	45.: Full-time or part-time (PT is less than 32 hrs): PT	45.: Retirement plan coverage: Yes	45.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
46.	46.: Position: Dental Assistant	46.: Position: Financial Coordinator	46.: Position: Front Desk/Admin/Billing Clerk	46.: Position: Hygienist	46.: Position: Office Manager	46.: Position: Registered Dental Assistant	46.: Position: Treatment Coordinator	46.: Years of experience: 0-2 Years	46.: Years of experience: 3-5 Years	46.: Years of experience: 6-10 Years	46.: Years of experience: Over 10 Years	Hourly rate	46.: Full-time or part-time (PT is less than 32 hrs): FT	46.: Full-time or part-time (PT is less than 32 hrs): PT	46.: Retirement plan coverage: Yes	46.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
47.	47.: Position: Dental Assistant	47.: Position: Financial Coordinator	47.: Position: Front Desk/Admin/Billing Clerk	47.: Position: Hygienist	47.: Position: Office Manager	47.: Position: Registered Dental Assistant	47.: Position: Treatment Coordinator	47.: Years of experience: 0-2 Years	47.: Years of experience: 3-5 Years	47.: Years of experience: 6-10 Years	47.: Years of experience: Over 10 Years	Hourly rate	47.: Full-time or part-time (PT is less than 32 hrs): FT	47.: Full-time or part-time (PT is less than 32 hrs): PT	47.: Retirement plan coverage: Yes	47.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
48.	48.: Position: Dental Assistant	48.: Position: Financial Coordinator	48.: Position: Front Desk/Admin/Billing Clerk	48.: Position: Hygienist	48.: Position: Office Manager	48.: Position: Registered Dental Assistant	48.: Position: Treatment Coordinator	48.: Years of experience: 0-2 Years	48.: Years of experience: 3-5 Years	48.: Years of experience: 6-10 Years	48.: Years of experience: Over 10 Years	Hourly rate	48.: Full-time or part-time (PT is less than 32 hrs): FT	48.: Full-time or part-time (PT is less than 32 hrs): PT	48.: Retirement plan coverage: Yes	48.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
49.	49.: Position: Dental Assistant	49.: Position: Financial Coordinator	49.: Position: Front Desk/Admin/Billing Clerk	49.: Position: Hygienist	49.: Position: Office Manager	49.: Position: Registered Dental Assistant	49.: Position: Treatment Coordinator	49.: Years of experience: 0-2 Years	49.: Years of experience: 3-5 Years	49.: Years of experience: 6-10 Years	49.: Years of experience: Over 10 Years	Hourly rate	49.: Full-time or part-time (PT is less than 32 hrs): FT	49.: Full-time or part-time (PT is less than 32 hrs): PT	49.: Retirement plan coverage: Yes	49.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)
50.	50.: Position: Dental Assistant	50.: Position: Financial Coordinator	50.: Position: Front Desk/Admin/Billing Clerk	50.: Position: Hygienist	50.: Position: Office Manager	50.: Position: Registered Dental Assistant	50.: Position: Treatment Coordinator	50.: Years of experience: 0-2 Years	50.: Years of experience: 3-5 Years	50.: Years of experience: 6-10 Years	50.: Years of experience: Over 10 Years	Hourly rate	50.: Full-time or part-time (PT is less than 32 hrs): FT	50.: Full-time or part-time (PT is less than 32 hrs): PT	50.: Retirement plan coverage: Yes	50.: Retirement plan coverage: No	Number of paid days off given annually	Total dollars paid annually for healthcare benefits (Premiums, HSA & Cafeteria plans, etc.)

13. Would you refer this software to a colleague?  *This question is required.

• Yes
• No
• Possibly

15. What type of retirement plan do you offer? *This question is required.*Please check all that are applicable.

• Profit sharing
• 401(k)
• SEP
• Simple
• None

16. What practice contribution to staff retirement as a percentage of staff's income do you offer?  *This question is required.

• 3%
• 5%
• 10%
• Greater than 10%
• None
• Other - Write In (Required) Please enter an 'other' value for this selection.

17. What is the square footage of your office space?  *This question is required.

• 800 - 1,500 sq ft
• 1,501 - 2,100 sq ft
• 2,101 - 2,700 sq ft
• 2,701 - 3,300 sq ft
• 3,301 - 3,900 sq ft
• Greater than 3,901 sq ft

18. Do you own your own space *This question is required.

• Yes
• No

20. What are your lease terms?  *This question is required.

• NNN: You pay maintenance, insurance, and taxes separately from your monthly rent.
• Gross: Everything above is included in your monthly rent payment.
• Not applicable (own your own space)